Individual provider Active NPI

Erica Lynn Vonbehren, M.A.

  • Speech-Language Pathologist
  • Mokena, IL
National Provider Identifier
1285777664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
19065 Hickory Creek PL
Suite 110
Mokena, IL 60448-8507
Phone
(708) 478-5400
Fax
(708) 478-5300
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Primary

Addresses

Primary practice location

19065 Hickory Creek PL
Suite 110
Mokena, IL 60448-8507

Mailing address

7436 W 153Rd St Unit 3
Orland Park, IL 60462-6716
Phone (773) 716-4907

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 Arts

State licenses

LicenseStateTypeSpecialty
146.006419ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Can DO, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285777664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7436 W 153RD ST UNIT 3",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626716",
            "telephone_number": "773-716-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19065 HICKORY CREEK PL",
            "address_2": "SUITE 110",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488507",
            "telephone_number": "708-478-5400",
            "fax_number": "708-478-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONBEHREN",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.