Jean Marie Kolb, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-104542 Issued in IL

Practice address

501A S Towanda Barnes Rd Ste 2
Bloomington, IL 61705-4031

Phone

(309) 612-9002

NPI assigned

Sep 21, 2006

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Rush Medical College of Rush University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gibson Community Hospital AssociationGroup PAC ID 5092703124, 159 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  Medicare reassignment Care Compare group NPD
• Gibson Community Hospital Association

  dba Family Health Care of Watseka

  • Rural Health Clinic/Center
  • Watseka, IL
  • NPI 1043720691
  NPD
• Gibson Community Hospital Association

  dba Gibson Specialty Pharmacy

  • Community/Retail Pharmacy
  • Gibson City, IL
  • NPI 1245105535
  NPD
• Central Illinois Pediatric Associates LLC

  • Primary Care Clinic/Center
  • Bloomington, IL
  • NPI 1174706816
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1396844189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501A S TOWANDA BARNES RD STE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617054031",
            "telephone_number": "309-612-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-104542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamri Koenig
• Pamela Koh
• Lawrence Kohaus, M.D.
• Cindy Kohtz, FNP-BC
• Edward H. Kolb, M.D.
• Robert A Kolodziejczyk, M.D.
• Eva Komar
• Matthew Korn
• Karla Renee Kossler, M.D.
• Anastasia Kovalaske, NP

• Pediatrics Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.