Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jennifer Marie Van Blake, MHS-CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1306267604

MS. Jennifer Marie Van Blake, MHS-CCC-SLP is a Qualified Speech Language Pathologist in Mount Prospect, Illinois. Qualified in 2001, 25 years ago. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2014
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Practice location Address checks out

113 N School St
Mount Prospect, IL 60056-2540
Phone: (847) 350-8846
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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 146.007253 (IL)

Record details

NPI number1306267604
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS-CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 4, 2014
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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