Amanda Yablun, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.007107 Issued in IL

Practice address

3813 Redwood CT
Spring Grove, IL 60081-8623

Phone

(815) 342-7957

NPI assigned

Apr 24, 2007

Last updated

May 18, 2023By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiance Therapies LLC

  • Speech-Language Pathologist
  • Spring Grove, IL
  • NPI 1467143784
  NPD Authorized official
• Driscoll Pediatric Speech Services, Inc.

  • Speech-Language Pathologist
  • Wonder Lake, IL
  • NPI 1235273756
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1801015508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 REDWOOD CT",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818623",
            "telephone_number": "815-342-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 REDWOOD CT",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818623",
            "telephone_number": "815-342-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABLUN",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF PROF. RELATIONS",
            "identifier": "146.007107",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreens
• Grace Caroline Weber
• Betsy Wells, MA, LCPC
• Wholesome Nutrition LLC
• Amy M Woods
• Erika Zagozdon

• Speech-Language Pathologist in Spring Grove, IL
• Providers in Spring Grove, 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 May 18, 2023; 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.