Caitlin Diedrich

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.011624 Issued in IL

Practice address

270 S Hagans Ave
Elmhurst, IL 60126-3117

Phone

(630) 217-9675

NPI assigned

Jun 25, 2013

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 names 1

• Caitlin Mower Former name

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1710327648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 S FAIRFIELD AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264946",
            "telephone_number": "630-217-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S HAGANS AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263117",
            "telephone_number": "630-217-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDRICH",
        "first_name": "CAITLIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MOWER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suruchi Dewoolkar, D.O.
• Bhavneet Dhillon
• Sanjiv Dhodapkar, PT, DPT
• Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Elmhurst)
• Diana Isela Diaz, FNP-C
• Olivia Nicole Dietrich, DMD
• Annemarie Dietzen, DPT
• Lalitha Dileep-Ansal, MD
• Kimberly Dipasqua
• Lisa Distel, PTA

• Speech-Language Pathologist in Elmhurst, IL
• Providers in Elmhurst, 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 Oct 9, 2019; 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.