Victoria Patrice Kolodziejski

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

5820 W Irving Park Rd
Chicago, IL 60634-2616

Phone

(773) 517-5523

NPI assigned

Feb 27, 2008

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

Other names 1

• Victoria Patrice Heether Former name

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1396914982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W PIERCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222130",
            "telephone_number": "773-517-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342616",
            "telephone_number": "773-517-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIEJSKI",
        "first_name": "VICTORIA",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "HEETHER",
            "middle_name": "PATRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Jon Kollmann, M.S., ATC, CSCS
• Harini Kolluri, MD
• Elizabeth Kolodiej, M.S., CCC-SLP
• Leon Thomas Kolodziej, D.C.
• Heidi Kolodziejczyk, APRN, CNP
• Elena Kolomytseva
• Alyssa Eileen Koloske, OTR/L
• Michelle Kolosso
• Rebecca S Kolpak
• Madeline Kolquist

• Developmental Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.