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

Individual provider Speech-Language Pathologist · NPI 1548585300

Elizabeth Fuentes, CCCSLP is a Qualified Speech Language Pathologist in Libertyville, Illinois. Qualified in 2009, 17 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1136 Kristin Dr
Libertyville, IL 60048-1281
Phone: (847) 508-1098
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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 146010183 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 24201157 (IL)

Record details

NPI number1548585300
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCCSLP
Sole proprietorNo
NPI enumeratedApril 5, 2010
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Libertyville