Active NPI
Jordan Dubow
- Speech-Language Pathologist
- Downers Grove, IL
National Provider Identifier
1619630183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2901 Finley Rd Ste 101
Downers Grove, IL 60515-1394 - Phone
- (630) 919-8218
- NPI assigned
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
2901 Finley Rd Ste 101
Downers Grove, IL 60515-1394
Mailing address
2901 Finley Rd Ste 101
Downers Grove, IL 60515-1394
Phone (630) 919-8218
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1619630183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 FINLEY RD STE 101",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151394",
"telephone_number": "630-919-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 FINLEY RD STE 101",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151394",
"telephone_number": "630-919-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOW",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.