Active NPI
Bethany Marshall
- Speech-Language Pathologist
- Homewood, IL
National Provider Identifier
1558272138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.018544
- Practice address
- 18410 Governors Hwy
Homewood, IL 60430-2911 - Phone
- (708) 513-8311
- NPI assigned
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.018544 | IL | Primary |
Addresses
Primary practice location
18410 Governors Hwy
Homewood, IL 60430-2911
Mailing address
3145 N Kenmore Ave Apt 2
Chicago, IL 60657-8336
Phone (847) 767-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1558272138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 N KENMORE AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606578336",
"telephone_number": "847-767-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18410 GOVERNORS HWY",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302911",
"telephone_number": "708-513-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "BETHANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.018544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.