Active NPI
Jason Scott Kosek, D. C.
- Chiropractor
- New Lenox, IL
National Provider Identifier
1528463510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012713
- Practice address
- 195 S Marley Rd
New Lenox, IL 60451-3302 - Phone
- (815) 485-8200
- Fax
- (815) 485-8996
- NPI assigned
- Nov 3, 2014
- Last updated
- Nov 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.012713 | IL | Primary |
| Chiropractor | 111N00000X | 08002808A | IN |
Addresses
Primary practice location
195 S Marley Rd
New Lenox, IL 60451-3302
Mailing address
195 S Marley Rd
New Lenox, IL 60451-3302
Phone (815) 485-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
195 S Marley Rd
New Lenox, IL 60451-3302
Phone (815) 485-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012713 | IL | MD | Chiropractor |
| 08002808A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kosek Kiro LLC | Chiropractor | Current | Accepting new patients |
Locations
195 S Marley Rd
New Lenox, IL 60451
Phone (815) 485-8200
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1528463510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 S MARLEY RD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604513302",
"telephone_number": "815-485-8200",
"fax_number": "815-485-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 S MARLEY RD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604513302",
"telephone_number": "815-485-8200",
"fax_number": "815-485-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSEK",
"first_name": "JASON",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-03",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012713",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002808A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.