Individual provider Active NPI

Julie A Oberbroeckling, SLP

  • Speech-Language Pathologist
  • Westmont, IL
National Provider Identifier
1831383975
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006766 Issued in IL
Practice address
825 N Cass Ave Ste 109
Westmont, IL 60559-6401
Phone
(773) 318-8890
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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 146006766 IL Primary

Addresses

Primary practice location

825 N Cass Ave Ste 109
Westmont, IL 60559-6401

Mailing address

825 N Cass Ave Ste 109
Westmont, IL 60559-6401
Phone (773) 318-8890

Other practice location 1

700 E Ogden Ave
Suite 108
Westmont, IL 60559-5569
Phone (773) 318-8890

Other practice location 2

4811 Emerson Ave Ste 103
Palatine, IL 60067-7416
Phone (773) 318-8890

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
146006766ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chatabilities Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1831383975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N CASS AVE STE 109",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596401",
            "telephone_number": "773-318-8890",
            "fax_number": "630-568-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CASS AVE STE 109",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596401",
            "telephone_number": "773-318-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Ogden Ave",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605595569",
            "country_code": "US",
            "telephone_number": "773-318-8890",
            "fax_number": "630-568-5938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4811 Emerson Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600677416",
            "country_code": "US",
            "telephone_number": "773-318-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERBROECKLING",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.