Kerby Obia, MHS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.014951 Issued in IL

Practice address

4 Fairfax CT
Bolingbrook, IL 60490-5039

Phone

(630) 870-0631

NPI assigned

Aug 15, 2019

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

Specialty

Qualified Speech Language Pathologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Starlight Therapy Services Limited

  • Early Intervention Provider Agency
  • Bolingbrook, IL
  • NPI 1669846085
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1255987293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 WALNUT AVE APT 2B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FAIRFAX CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905039",
            "telephone_number": "630-870-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIA",
        "first_name": "KERBY",
        "name_prefix": "Miss",
        "credential": "MHS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Nunes
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• Katherine J O'Donnell, LCSW
• Caroline Oakley, ATC, LAT
• Occupational Health Centers of Illinois PC
• Joseph Ofenloch, DPT, PT
• Adwoa Ofori-Kuragu
• Isoken Franca Ogbomo, FNP
• Kristin Ogle

• Speech-Language Pathologist in Bolingbrook, IL
• Providers in Bolingbrook, 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 May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.