Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Marie Petricca, MSCCC-SLP/L

Individual provider Speech-Language Pathologist · NPI 1649448770

Angela Marie Petricca, MSCCC-SLP/L is a Speech-Language Pathologist in Elk Grove Vlg, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

555 Jersey Ln
Elk Grove Vlg, IL 60007-2765
Phone: (847) 293-4787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.011210 (IL)

Record details

NPI number1649448770
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP/L
Sole proprietorYes
NPI enumeratedFebruary 11, 2008
Last updated in NPPESSeptember 11, 2012