Gina Koszulinski, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.014120 Issued in IL

Practice address

10820 183Rd St
Orland Park, IL 60467-4913

Phone

(708) 479-1082

NPI assigned

Sep 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialty

Qualified Speech Language Pathologist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1154109809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 W 166TH PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675556",
            "telephone_number": "708-560-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 183RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674913",
            "telephone_number": "708-479-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSZULINSKI",
        "first_name": "GINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Kordaczka
• Louis N Korompilas, DDS
• Mary Anne Koscianiuk, OT
• Bethany Koson
• John S Kostovich, BPHARM, M.B.A., R.PH
• Haley Marie Koth, DO
• Shobin John Kottoor, RN
• Jules T Koveleski, M.D.
• Helena Kowalczyk
• Colleen S Krambeck, DPT

• Speech-Language Pathologist in Orland Park, IL
• Providers in Orland Park, 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 Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.