Jill Goetz

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.011746 Issued in IL

Practice address

1601 E Main St Unit G
St Charles, IL 60174-2431

Phone

(630) 880-0993

NPI assigned

Aug 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Arndt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1235506072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W ELM ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896427",
            "telephone_number": "630-881-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E MAIN ST UNIT G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742431",
            "telephone_number": "630-880-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "ARNDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Raymond Glenn, D.C.
• David A. I. Glenn, D.C.
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• Mark John Glesener, D.C.
• Tanya Christina Gluzerman, PSY.D.
• Robert Golda, LCPC
• Katie Goldstein, CF-SLP
• Stephanie Golevicz
• Michelle Gomberg, LCSW
• Katarina Gomez, OTD, OTR/L

• Speech-Language Pathologist in St Charles, IL
• Providers in St Charles, 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 Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.