Provider Demographics
NPI:1033775259
Name:DINI, ERIN KRISTINE (SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:KRISTINE
Last Name:DINI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2171 W EXECUTIVE DR STE 500
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-5626
Mailing Address - Country:US
Mailing Address - Phone:630-766-0505
Mailing Address - Fax:630-766-6465
Practice Address - Street 1:2171 W EXECUTIVE DR STE 500
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-5626
Practice Address - Country:US
Practice Address - Phone:630-766-0505
Practice Address - Fax:630-766-6465
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.005208235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist