Emily Krzystyniak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.015170 Issued in IL

Practice address

200 E Court St
Kankakee, IL 60901-3843

Phone

(815) 304-5548

NPI assigned

Jan 3, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1093288904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14341 S HEATHER LN",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917820",
            "telephone_number": "708-262-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013843",
            "telephone_number": "815-304-5548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10480 Nebraska St",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604232235",
            "country_code": "US",
            "telephone_number": "815-469-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRZYSTYNIAK",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.005203",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.015170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rae Kollmann, MS, RD, LDN
• Eleanor Kotov, M.D.
• Robert Koziol, DO
• Jennifer Jean Kravat, M.S. CCC/SLP-L
• J Michael Krisko, DDS
• KTK Amazing Grace Home Health Care LTD
• Katherine Kuang
• Ronald Kurzejka, M.D.
• John Lacheta, DO
• Michelle Lacost

• Speech-Language Pathologist in Kankakee, IL
• Providers in Kankakee, 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 Nov 30, 2023; 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.