Active NPI
Julie Hodson, M.S. CCC-SLP
- Speech-Language Pathologist
- Lisle, IL
National Provider Identifier
1013414226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146013760
- Practice address
- 1902 Burlington Ave
Lisle, IL 60532-1721 - Phone
- (630) 915-1051
- NPI assigned
- Apr 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146013760 | IL | Primary |
Addresses
Primary practice location
1902 Burlington Ave
Lisle, IL 60532-1721
Mailing address
304 N Loomis St
Chicago, IL 60607-1147
Phone (312) 243-8487
Other practice location 1
304 N Loomis St
Chicago, IL 60607-1147
Phone (312) 243-8487
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7094782 | Other | IL | EI BILLING PROVIDER |
| 3000005 | Other | IL | EI MCO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146013760 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Bird Day LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1588030621
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1013414226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 N LOOMIS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071147",
"telephone_number": "312-243-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 BURLINGTON AVE",
"city": "LISLE",
"state": "IL",
"postal_code": "605321721",
"telephone_number": "630-915-1051"
}
],
"practiceLocations": [
{
"address_1": "304 N Loomis St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606071147",
"country_code": "US",
"telephone_number": "312-243-8487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODSON",
"first_name": "JULIE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-12",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146013760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI BILLING PROVIDER",
"identifier": "7094782",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI MCO",
"identifier": "3000005",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.