Active NPI
Erin Kristine Dini, SLP
- Speech-Language Pathologist
- Addison, IL
National Provider Identifier
1033775259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.005208
- Practice address
- 2171 W Executive Dr Ste 500
Addison, IL 60101-5626 - Phone
- (630) 766-0505
- Fax
- (630) 766-6465
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 242.005208 | IL | Primary |
Addresses
Primary practice location
2171 W Executive Dr Ste 500
Addison, IL 60101-5626
Mailing address
2171 W Executive Dr Ste 500
Addison, IL 60101-5626
Phone (630) 766-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210607001616 | IL | Practitioner - Qualified Speech Language Pathologist | 2062812480 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.005208 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1033775259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 W EXECUTIVE DR STE 500",
"city": "ADDISON",
"state": "IL",
"postal_code": "601015626",
"telephone_number": "630-766-0505",
"fax_number": "630-766-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2171 W EXECUTIVE DR STE 500",
"city": "ADDISON",
"state": "IL",
"postal_code": "601015626",
"telephone_number": "630-766-0505",
"fax_number": "630-766-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINI",
"first_name": "ERIN",
"middle_name": "KRISTINE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.005208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.