Blake Self, CCC-SLP
NPI 1164887592 · Speech-Language Pathologist · Wonder Lake, IL
Blake Self, CCC-SLP is a Speech-Language Pathologist provider in Wonder Lake, IL (NPI 1164887592).
Provider details
- NPI number
- 1164887592
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 146012447 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-30
- Last updated
- 2015-12-30
Frequently asked questions
- What is Blake Self's NPI number?
- Blake Self's National Provider Identifier (NPI) is 1164887592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Self's specialty?
- Blake Self is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Blake Self located?
- Blake Self's practice location on file with NPPES is 5704 Wonder Woods Drive, Wonder Lake, IL 60097.
- What is Blake Self's phone number?
- The practice phone number listed in the NPPES registry for Blake Self is (847) 636-7603.
- Is Blake Self's NPI active?
- Yes — Blake Self's NPI (1164887592) is active in the NPPES registry as of the last update on 2015-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.