Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooklyn Porter, SLP

Individual provider Speech-Language Pathologist · NPI 1093658064

Brooklyn Porter, SLP is a Speech-Language Pathologist in Lake Villa, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

89 Cedar Ave
Lake Villa, IL 60046-8411
Phone: (847) 265-7300
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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 242018569 (IL)

Record details

NPI number1093658064
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing addressPo Box 764, Lake Villa, IL 60046-0764

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