Antonia Jurkovic, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010983 Issued in IL

Practice address

8707 Skokie Blvd Ste 310
Skokie, IL 60077-2281

Phone

(847) 568-1100

NPI assigned

Jun 21, 2023

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

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.

• Antonia Jurkovic PLLC

  • Psychologist
  • Chicago, IL
  • NPI 1053154260

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1043995459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 N HERMITAGE AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404129",
            "telephone_number": "773-895-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD STE 310",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772281",
            "telephone_number": "847-568-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4899 N Hermitage Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606404129",
            "country_code": "US",
            "telephone_number": "773-895-4071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURKOVIC",
        "first_name": "ANTONIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Wenn Joyner, M.D.
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• Catherine Jurek
• JZ Medical Equipment LLC
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• K Medical Group LLC
• Paul John Kachoris, MD
• Allan N Kaczala, PH.D.

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.