Active NPI
Tara R Baron, M.A.
- Speech-Language Pathologist
- Downers Grove, IL
National Provider Identifier
1639414535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3694418
- Practice address
- 2901 Finley Rd Ste 101
Downers Grove, IL 60515-1394 - Phone
- (630) 792-1800
- NPI assigned
- Dec 3, 2012
- 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 | 3694418 | IL | Primary |
Addresses
Primary practice location
2901 Finley Rd Ste 101
Downers Grove, IL 60515-1394
Mailing address
574 Hiawatha Dr
Carol Stream, IL 60188-1616
Phone (847) 209-7703
Other names 1
- Miss Tara R Brooks
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3694418 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones for Kids Success, PC | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Downers Grove, IL
- NPI 1598821308
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1639414535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "574 HIAWATHA DR",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601881616",
"telephone_number": "847-209-7703"
},
{
"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": "630-792-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARON",
"first_name": "TARA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "3694418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "BROOKS",
"middle_name": "R",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.