Deidre R Dobbels, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1640 Short St
Algonquin, IL 60102-1850

Phone

(847) 767-1567

NPI assigned

Jul 21, 2006

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Illinois UniversityGroup PAC ID 2860440195, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Northern Illinois University

  • Radiation Oncology Clinic/Center
  • Batavia, IL
  • NPI 1144327487

  IL

  Medicare reassignment Care Compare group NPD
• Northern Illinois University

  • Sports Medicine (Family Medicine) Physician
  • Dekalb, IL
  • NPI 1700332392
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740201185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 SHORT ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 SHORT ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021850",
            "telephone_number": "847-767-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBELS",
        "first_name": "DEIDRE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raj Ajay Desai
• Diamond Physical Therapy and Rehabilitation, PC
• Diana F Penuela-Oneill PC
• Jon Difatta
• Lynda Dinh
• Kristen L Dolder, PA-C
• Maria Melina Dominguez, LCPC
• Dr Dawn Wickizer and Associates LLC
• Dr Scotts Chiropractic Services PC
• Craig Duncan, DDS

• All providers in Algonquin, IL
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.