Individual provider Active NPI

Jennifer Claire Jeon, MS, CCC-SLP

  • Speech-Language Pathologist
  • Skokie, IL
National Provider Identifier
1124500236
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146014939 Issued in IL
Practice address
9201 Lockwood Ave
Skokie, IL 60077-1137
Phone
(847) 676-7316
NPI assigned
Sep 5, 2018
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242005075 IL
Speech-Language Pathologist 235Z00000X 146014939 IL Primary

Addresses

Primary practice location

9201 Lockwood Ave
Skokie, IL 60077-1137

Mailing address

1217 S Clifton Ave
Park Ridge, IL 60068-5181
Phone (310) 721-8690

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146014939ILMDSpeech-Language Pathologist
242005075ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Steps Pediatric Physical Therapy PC Past Accepting new patients
Little Steps Pediatric Physical Therapy, PC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1124500236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S CLIFTON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685181",
            "telephone_number": "310-721-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 LOCKWOOD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771137",
            "telephone_number": "847-676-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "JENNIFER",
        "middle_name": "CLAIRE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242005075",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.