Jules T Koveleski, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036052720 Issued in IL

Practice address

10640 West 165 Street
Orland Park, IL 60467

Phone

(708) 364-0261

Fax

(708) 364-0269

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Diagnostic Neurology, LTD

  • Neurology Physician
  • Park Ridge, IL
  • NPI 1164475737
  NPD (past) Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1144273897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 WEST 165 STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-364-0261",
            "fax_number": "708-364-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 WEST 165 STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-364-0261",
            "fax_number": "708-364-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVELESKI",
        "first_name": "JULES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036052720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01615936",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130004857",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052720",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Koson
• John S Kostovich, BPHARM, M.B.A., R.PH
• Gina Koszulinski, CCC-SLP
• Haley Marie Koth, DO
• Shobin John Kottoor, RN
• Helena Kowalczyk
• Colleen S Krambeck, DPT
• Otto Kramer Jr.
• Alicja Kraska-Cwikla, M.D.
• William Kreifels, DDS

• Neurology Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.