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

Samantha R Formento

Individual provider Speech-Language Pathologist · NPI 1053834176

Samantha R Formento is a Speech-Language Pathologist in New Lenox, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1621 Andrea Dr
New Lenox, IL 60451-2303
Phone: (779) 435-0724
Show map & directions

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

Additional practice locations (1)

  • 2156 Deep Water Ln Ste 110, Naperville, IL 60564-8507 — (630) 904-0700

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1053834176
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2017
Last updated in NPPESSeptember 9, 2023
Certification dateSeptember 9, 2023

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