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

Samantha Black, MACCC-SLP/L

Individual provider Speech-Language Pathologist · NPI 1104416700

Samantha Black, MACCC-SLP/L is a Speech-Language Pathologist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

1510 E 55th St
Chicago, IL 60615-2598
Phone: (219) 363-8498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.015549 (IL)

Record details

NPI number1104416700
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP/L
Sole proprietorYes
NPI enumeratedJanuary 19, 2021
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

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