Erin Dyckman, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.008117 Issued in IL

Practice address

2901 Finley Rd
Suite 101
Downers Grove, IL 60515-1041

Phone

(630) 792-1800

Fax

(630) 792-1801

NPI assigned

Dec 28, 2006

Reactivated

Dec 10, 2024

Sex

Female

Sole proprietor

No

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

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 and National Provider Directory roles.

• Milestones for Kids Success, PC

  • Early Intervention Provider Agency
  • Downers Grove, IL
  • NPI 1598821308

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1972669877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7847 W BERWYN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561605",
            "telephone_number": "773-301-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 FINLEY RD",
            "address_2": "SUITE 101",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151041",
            "telephone_number": "630-792-1800",
            "fax_number": "630-792-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCKMAN",
        "first_name": "ERIN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-12-10",
        "deactivation_date": "2012-07-11",
        "reactivation_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinidad Parungao Duran, RN
• Jo Duren-Sampson, LCSW
• Demi A Durham
• Jay M Dutton, M.D.
• Dorothy Dvorachek Larsen, LCPC
• Kamila N/a Dymala
• Dynamic Hearing LLC
• Jessica E Dyrek, LCPC
• Jill V. Dziak, P.T.A.
• Cassidy Eastman

• Speech-Language Pathologist in Downers Grove, IL
• Providers in Downers 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 Dec 10, 2024; 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.