Individual provider Active NPI

Elizabeth Seebock, CCC-SLP

  • Speech-Language Pathologist
  • Midlothian, IL
National Provider Identifier
1447813779
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.013004 Issued in IL
Practice address
15260 Ridgeway Ave
Midlothian, IL 60445-3749
Phone
(708) 299-8963
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 146.013004 IL Primary

Addresses

Primary practice location

15260 Ridgeway Ave
Midlothian, IL 60445-3749

Mailing address

15260 Ridgeway Ave
Midlothian, IL 60445-3749
Phone (708) 299-8963

Other names 1

  • Elizabeth Pappas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241016000652 IL Practitioner - Qualified Speech Language Pathologist 7517499536 Reassigns benefits to 1 organization
I20241017003082 TX Practitioner - Qualified Speech Language Pathologist 7517499536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

3800 N Lamar Blvd
Suite 200
Austin, TX 78756-0003
Phone (512) 377-6318

5 Revere Dr
Northbrook, IL 60062-1566
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146.013004ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Dec 2, 2024 Accepting new patients

Locations

633 W 5th St
Los Angeles, CA 90071
Phone (213) 260-1286

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

5 Revere Dr
#One
Northbrook, IL 60062

5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

2807 Allen St
Dallas, TX 75204
Phone (469) 781-1478

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1447813779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15260 RIDGEWAY AVE",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453749",
            "telephone_number": "708-299-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 RIDGEWAY AVE",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453749",
            "telephone_number": "708-299-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEBOCK",
        "first_name": "ELIZABETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.013004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PAPPAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midlothian, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.