Individual provider Active NPI

Rebecca Rosenblatt

  • Speech-Language Pathologist
  • Aurora, IL
National Provider Identifier
1871114280
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.005717 Issued in IL
Practice address
2112 W Galena Blvd Ste 8-316
Aurora, IL 60506-3255
Phone
(630) 661-7253
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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 242.005717 IL Primary

Addresses

Primary practice location

2112 W Galena Blvd Ste 8-316
Aurora, IL 60506-3255

Mailing address

6833 N Kedzie Ave Apt 1102
Chicago, IL 60645-2884
Phone (845) 548-6552

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
242.005717ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Outcomes Inc. Speech-Language Pathologist CurrentSince Jan 26, 2025 Accepting new patients

Locations

2112 W Galena Blvd
Ste 8316
Aurora, IL 60506
Phone (630) 277-9695

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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1871114280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 N KEDZIE AVE APT 1102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452884",
            "telephone_number": "845-548-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 W GALENA BLVD STE 8-316",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063255",
            "telephone_number": "630-661-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.005717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.