Michelle Konecki

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2630 W Bradley PL
Chicago, IL 60618-4704

Phone

(312) 955-0089

NPI assigned

May 19, 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

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1528632874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 S CENTRAL PARK AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053004",
            "telephone_number": "708-373-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BRADLEY PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184704",
            "telephone_number": "312-955-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONECKI",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George T Kondos, MD
• Prema Kondragunta
• Natalie Hope Kondziolka
• Zatio Kone, LCSW
• Jeri Ruth Konecki, COTA L
• Monique Elaine Konecny, L.AC.
• Tadeusz Konefal, M.D.
• Amanda Konen
• John Konen, M.D.
• Brian Kong

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.