Roseann Kondellas

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.007209 Issued in IL

Practice address

18146 Oak Park Ave
Tinley Park, IL 60477-3944

Phone

(708) 614-4510

NPI assigned

Oct 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Roseann Klioris Former name

Electronic endpoints 1

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1154831592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18146 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773944",
            "telephone_number": "708-614-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18146 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773944",
            "telephone_number": "708-614-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDELLAS",
        "first_name": "ROSEANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rklioris@district146.org",
            "affiliation": "N",
            "address_1": "18146 Oak Park Ave",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604773944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROSEANN",
            "last_name": "KLIORIS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James N. Kogionis, DDS
• Cheryl Kokaska
• Olatokunbo Oluwatoyin Kolawole, MD
• Elzbieta Kolodziej, P.A.
• Katrina Lorae Koltz, PT, DPT
• Michael Korpics, MD
• Kosel Dental PC
• Alison Koszulinski
• Autumn Kozma, RBT
• Alexander Kraeger, CADC

• Speech-Language Pathologist in Tinley Park, IL
• Providers in Tinley 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 Aug 25, 2022; 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.