Jennie Marie Killam

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

8801 Werner Rd
New Berlin, IL 62670-6805

Phone

(217) 971-1882

NPI assigned

Jul 28, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1043475122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31281 KILLAM RD.",
            "city": "GIRARD",
            "state": "IL",
            "postal_code": "626408629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 WERNER RD",
            "city": "NEW BERLIN",
            "state": "IL",
            "postal_code": "626706805",
            "telephone_number": "217-971-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLAM",
        "first_name": "JENNIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allicent L. Curry, FNP-C
• Sidney Lin Donnan, MA CCC-SLP
• Ralph Dorr, R.PH.
• Monica Suzanne Huffman, PT, MS ATC/L
• Stephanie Hughes
• Linda L Orr, OTR/L
• Physicians Group Associates SC
• Stephanie Snyder, BACHELORS OF SCIENCE
• Misty Leigh White- King, OCCUPATIONAL THERAPY

• All providers in New Berlin, IL
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.