Individual provider Active NPI

Jillian Marguerite Hyder

  • Speech-Language Pathologist
  • Dekalb, IL
National Provider Identifier
1417827619
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146017081 Issued in IL
Practice address
3014 Fairway Oaks Dr
Dekalb, IL 60115-4948
Phone
(779) 875-8182
NPI assigned
Nov 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 146017081 IL Primary

Addresses

Primary practice location

3014 Fairway Oaks Dr
Dekalb, IL 60115-4948

Mailing address

3014 Fairway Oaks Dr
Dekalb, IL 60115-4948
Phone (779) 875-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3014 Fairway Oaks Dr
Dekalb, IL 60115-4948

3100 Sycamore Rd
Dekalb, IL 60115-9621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146017081ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1417827619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 FAIRWAY OAKS DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154948",
            "telephone_number": "779-875-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 FAIRWAY OAKS DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154948",
            "telephone_number": "779-875-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDER",
        "first_name": "JILLIAN",
        "middle_name": "MARGUERITE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146017081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.