Jeri Ruth Konecki, COTA L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

445 N Wells St
Suite 303
Chicago, IL 60610-4579

Phone

(800) 494-9936

NPI assigned

May 21, 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

Other names 1

• Jeri Ruth Nordgren Other name

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417166349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 CONDOR DR",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609503599",
            "telephone_number": "815-468-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N WELLS ST",
            "address_2": "SUITE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606104579",
            "telephone_number": "800-494-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONECKI",
        "first_name": "JERI",
        "middle_name": "RUTH",
        "credential": "COTA L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERI",
            "last_name": "NORDGREN",
            "middle_name": "RUTH",
            "credential": "COTA L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kondiles Chicagoland Foot Care Center PC
• George T Kondos, MD
• Prema Kondragunta
• Natalie Hope Kondziolka
• Zatio Kone, LCSW
• Michelle Konecki
• Monique Elaine Konecny, L.AC.
• Tadeusz Konefal, M.D.
• Amanda Konen
• John Konen, M.D.

• Occupational Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapy Assistant 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.