Diana Maria Vanstedum, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.015426 Issued in IL

Practice address

401 1St St
Cary, IL 60013-2764

Phone

(224) 357-5550

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Grayslake, IL
  • NPI 1689141376

  Speech-Language Pathologist

  Medicare reassignment NPD
• Shine on Pediatric Therapy, PLLC

  • Speech-Language Pathologist
  • Lake Zurich, IL
  • NPI 1982392056
  NPD Authorized official
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1144847237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21897 N INGLENOOK CT",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600109731",
            "telephone_number": "847-800-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 1ST ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132764",
            "telephone_number": "224-357-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22285 N Pepper Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Lake Barrington",
            "state": "IL",
            "postal_code": "600102541",
            "country_code": "US",
            "telephone_number": "847-842-0597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANSTEDUM",
        "first_name": "DIANA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.015426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-County Physicians Association
• Tryba Physical Therapy Group, LLC
• Traci Ann Tyler, MS, OTR/L
• Kurtis Cyle Vanalstine, DPT
• Kristi A Vanham, PT, DPT
• Vibrance Chiropractic & Wellness Center, LTD
• Purvi Vyas, PHARMD
• Walgreen Co
• Todd J Wallace, PT
• Rebecca Waltzer, PHARMD

• Speech-Language Pathologist in Cary, IL
• Providers in Cary, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.

Verify at the official NPI Registry.