John T. Lybolt, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146003355 Issued in IL

Practice address

900 Skokie Blvd
Suite Number 215
Northbrook, IL 60062-4012

Phone

(847) 564-9230

Fax

(847) 564-9258

NPI assigned

Apr 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• GL Speech Associates LTD

  • Speech-Language Pathologist
  • Northbrook, IL
  • NPI 1245351642
  NPD Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1659545408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD",
            "address_2": "SUITE NUMBER 215",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624012",
            "telephone_number": "847-564-9230",
            "fax_number": "847-564-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD",
            "address_2": "SUITE NUMBER 215",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624012",
            "telephone_number": "847-564-9230",
            "fax_number": "847-564-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBOLT",
        "first_name": "JOHN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146003355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jubia Lukose
• Sanjeev Lulla, MD
• Lisette Lumsden, D.D.S.
• Deborah M Lupa, RBT -19-82105
• Luxottica of America Inc.
• Lynette Vedrine Psy.D. LTD
• Fulani Lyons
• M Lakind LLC
• Michael Ma, PHARM.D.
• Yao Ma

• Speech-Language Pathologist in Northbrook, IL
• Providers in Northbrook, 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 Feb 18, 2013; 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.