Active NPI
Jessica Lynn Vertovec, M.S/SLP
- Speech-Language Pathologist
- Bloomingdale, IL
National Provider Identifier
1295009108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.002111
- Practice address
- 165 S Bloomingdale Rd
Bloomingdale, IL 60108-1434 - Phone
- (630) 980-8700
- NPI assigned
- Feb 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 242.002111 | IL | Primary |
Addresses
Primary practice location
165 S Bloomingdale Rd
Bloomingdale, IL 60108-1434
Mailing address
1400 Ovaltine CT
#1417
Villa Park, IL 60181-2799
Phone (630) 290-2941
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.002111 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1295009108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 OVALTINE CT",
"address_2": "#1417",
"city": "VILLA PARK",
"state": "IL",
"postal_code": "601812799",
"telephone_number": "630-290-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 S BLOOMINGDALE RD",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081434",
"telephone_number": "630-980-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERTOVEC",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "M.S/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.002111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.