Individual provider Active NPI

Jill Dirilten, M.S., CCC-SLP/L

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1407214851
Registry record updated Jan 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146-007342 Issued in IL
Practice address
3308 Tall Grass Dr
Naperville, IL 60564-4445
Phone
(708) 743-6767
Fax
(630) 922-3784
NPI assigned
Jan 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2016

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 146-007342 IL Primary

Addresses

Primary practice location

3308 Tall Grass Dr
Naperville, IL 60564-4445

Mailing address

3308 Tall Grass Dr
Naperville, IL 60564-4445
Phone (708) 743-6767

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 Science

State licenses

LicenseStateTypeSpecialty
146-007342ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1407214851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 TALL GRASS DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644445",
            "telephone_number": "708-743-6767",
            "fax_number": "630-922-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 TALL GRASS DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644445",
            "telephone_number": "708-743-6767",
            "fax_number": "630-922-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRILTEN",
        "first_name": "JILL",
        "credential": "M.S., CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-007342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; 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.