Individual provider Active NPI

Erin B Cogan, M.S. CCC-SLP/L

  • Speech-Language Pathologist
  • Tinley Park, IL
National Provider Identifier
1508414079
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
704339 Issued in IL
Practice address
6611 171St St
Tinley Park, IL 60477-3514
Phone
(708) 614-4510
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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 704339 IL Primary

Addresses

Primary practice location

6611 171St St
Tinley Park, IL 60477-3514

Mailing address

7309 W 153Rd St
Orland Park, IL 60462-4301
Phone (708) 214-9742

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
704339ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1508414079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 W 153RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624301",
            "telephone_number": "708-214-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 171ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773514",
            "telephone_number": "708-614-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGAN",
        "first_name": "ERIN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "704339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.