Jill Kae Kane – Speech-Language Pathologist

Key facts

NPI: 1639680895
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 146.005232 (IL)
Practice address: 1450 20TH St
Rochelle, IL 61068-1076
Phone: (815) 562-4520
NPI assigned: Oct 16, 2017
Sex: Female
Sole proprietor: No

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.

Ogle County Educ Coop Local Education Agency (LEA) · Byron, IL · NPI 1245408210

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
146.005232	IL	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Ogle County Educ Coop		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	146.005232	IL	Yes

Addresses

Primary practice location

1450 20TH St
Rochelle, IL 61068-1076

Mailing address

PO Box 35
Steward, IL 60553-0035

Other practice location 1

417 N Colfax St
Byron, IL 61010-1438
Phone (815) 234-2722

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639680895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "STEWARD",
            "state": "IL",
            "postal_code": "605530035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 20TH ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681076",
            "telephone_number": "815-562-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 N Colfax St",
            "address_purpose": "LOCATION",
            "city": "Byron",
            "state": "IL",
            "postal_code": "610101438",
            "country_code": "US",
            "telephone_number": "815-234-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "JILL",
        "middle_name": "KAE",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.005232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

All providers in Rochelle, IL · Speech-Language Pathologist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.