Individual provider Active NPI

Erin Lynn Jobe Carbonara, MA CCC SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1356449433
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.008469 Issued in IL
Practice address
2037 West Cuyler Avenue
Chicago, IL 60618-3049
Phone
(773) 919-9181
Fax
(773) 337-4987
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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 146.008469 IL Primary

Addresses

Primary practice location

2037 West Cuyler Avenue
Chicago, IL 60618-3049

Mailing address

2037 W Cuyler Ave
Chicago, IL 60618-3005
Phone (773) 919-9181

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
146.008469ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1356449433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 W CUYLER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183005",
            "telephone_number": "773-919-9181",
            "fax_number": "773-337-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 WEST CUYLER AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183049",
            "telephone_number": "773-919-9181",
            "fax_number": "773-337-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONARA",
        "first_name": "ERIN",
        "middle_name": "LYNN JOBE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.