Erin Beth Ballman, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146006040 Issued in IL

Practice address

700 E Golf Rd
Des Plaines, IL 60016-2311

Phone

(847) 824-8285

Fax

(847) 824-1143

NPI assigned

Nov 17, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1649784349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S HAWTHORNE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263241",
            "telephone_number": "312-217-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162311",
            "telephone_number": "847-824-8285",
            "fax_number": "847-824-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLMAN",
        "first_name": "ERIN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194859975",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.