Bernadette Zajaczkowski

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160007333 Issued in IL

Practice address

12220 Will Cook Rd
Palos Park, IL 60464-7332

Phone

(630) 257-2291

NPI assigned

Dec 31, 2021

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

State licenses

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1194486266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 GARAVOGUE AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671152",
            "telephone_number": "708-351-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 WILL COOK RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604647332",
            "telephone_number": "630-257-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJACZKOWSKI",
        "first_name": "BERNADETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160007333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Angela Yerkes, PH.D.
• David Yesko, PSY.D.
• Lisa Kay York, RBT 17-27938
• Hong Jun Yun, MD
• Jeneen Zahdan, DDS
• Michael William Zidek, RPH
• Kimberly Zoellick, FNP

• Physical Therapy Assistant in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.