Jackeline Cortez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66267 Issued in IL

Practice address

6930 Roosevelt Rd
Oak Park, IL 60304-1845

Phone

(708) 358-3000

NPI assigned

May 30, 2019

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

Practice roles

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

• Bys Speech and Occupational Therapy Services, LLC

  • Speech-Language Pathologist
  • Darien, IL
  • NPI 1316224462

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1568020055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 COMMERCE DR STE 100",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238822",
            "telephone_number": "630-526-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041845",
            "telephone_number": "708-358-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6930 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603041845",
            "country_code": "US",
            "telephone_number": "708-358-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "JACKELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-23-66267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina R. Cordero, MD
• Corporate Health Resource Center, Inc.
• Olivia Nicole Corrado, APRN, CNM
• Meagan M Corriveau, PT,DPT
• Joseph J Cortese, LCSW
• Patricia Cortez
• Heather Lea Corwin, PHD, LPC, RME, MFA
• Marques Cosby Sr., LCSW
• Chanel Mulan Cosey
• Jennifer Costello, LCSW, RD

• Behavior Analyst in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.