Jill M Kombrink

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

40W355 William Cullen Bryant St
St Charles, IL 60175-6562

Phone

(630) 377-2505

Fax

(630) 444-7321

NPI assigned

Jun 1, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174725139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W355 WILLIAM CULLEN BRYANT ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756562",
            "telephone_number": "630-377-2505",
            "fax_number": "630-444-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W355 WILLIAM CULLEN BRYANT ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756562",
            "telephone_number": "630-377-2505",
            "fax_number": "630-444-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMBRINK",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolyn Koenig, MPT
• Gary Marshall Kohn, MD
• Martin L Kolinski, DDS
• Katey Kollereb, LCSW
• Alexandra Komar
• Joanna Edyta Konopka
• Victoria Katherine Korpitz
• Bethany M Kosek
• Kristen Kostecki, CCC-SLP
• Tetyana Kostyshyna, PSYD, LCPC, LSOE/TP

• Developmental Therapist in St Charles, IL
• Providers in St Charles, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.