Active NPI
Lillian Kong, MPT
- Physical Therapist
- River Forest, IL
National Provider Identifier
1124355235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.011753
- Practice address
- 7411 Lake St
Suite 2190
River Forest, IL 60305-1876 - Phone
- (708) 488-1700
- NPI assigned
- Nov 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.011753 | IL | Primary |
Addresses
Primary practice location
7411 Lake St
Suite 2190
River Forest, IL 60305-1876
Mailing address
7411 Lake St
Suite 2190
River Forest, IL 60305-1876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.011753 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS West Suburban Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Oak Park, IL
- NPI 1144549775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1124355235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 LAKE ST",
"address_2": "SUITE 2190",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7411 LAKE ST",
"address_2": "SUITE 2190",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051876",
"telephone_number": "708-488-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "LILLIAN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.011753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in River Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.