Individual provider Active NPI

Judith M Ewers, SPEECH/LANGUAGE PATH

  • Speech-Language Pathologist
  • South Barrington, IL
National Provider Identifier
1760790240
Registry record updated Sep 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2136966 Issued in IL
Practice address
9 S Liberty Dr
South Barrington, IL 60010-9326
Phone
(847) 551-9912
NPI assigned
Sep 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2136966 IL Primary

Addresses

Primary practice location

9 S Liberty Dr
South Barrington, IL 60010-9326

Mailing address

9 S Liberty Dr
South Barrington, IL 60010-9326
Phone (847) 551-9912

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

LicenseStateTypeSpecialty
2136966ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1284854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284854400000",
    "number": "1760790240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S LIBERTY DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109326",
            "telephone_number": "847-551-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S LIBERTY DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109326",
            "telephone_number": "847-551-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWERS",
        "first_name": "JUDITH",
        "middle_name": "M",
        "credential": "SPEECH/LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-19",
        "last_updated": "2010-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "2136966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2010; 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.