Active NPI
Erin Therese Benson
- Speech-Language Pathologist
- Orland Hills, IL
National Provider Identifier
1649854886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.018081
- Practice address
- 16160 Rosebud PL
Orland Hills, IL 60487-4665 - Phone
- (708) 745-0828
- NPI assigned
- May 12, 2021
- Reactivated
- Oct 3, 2023
- Last updated
- Jan 10, 2025
- 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 | 146.018081 | IL | Primary |
Addresses
Primary practice location
16160 Rosebud PL
Orland Hills, IL 60487-4665
Mailing address
16160 Rosebud PL
Orland Hills, IL 60487-4665
Phone (708) 745-0828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ELT846418435 | Other | IL | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.018081 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1649854886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16160 ROSEBUD PL",
"city": "ORLAND HILLS",
"state": "IL",
"postal_code": "604874665",
"telephone_number": "708-745-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16160 ROSEBUD PL",
"city": "ORLAND HILLS",
"state": "IL",
"postal_code": "604874665",
"telephone_number": "708-745-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "ERIN",
"middle_name": "THERESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"deactivation_date": "2023-08-16",
"reactivation_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.018081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "ELT846418435",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orland Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.