Konjura, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070-012489 Issued in IL

Legal business name

KONJURA, PC

Practice address

1200 N Green Bay Rd
Waukegan, IL 60085-2246

Phone

(847) 662-1968

Fax

(847) 249-8218

NPI assigned

Jun 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen Konjura, PTNPI 1316949217

Title

President/Owner

Phone

(847) 662-1968

Specialties & licenses 1

Addresses

Other names 1

• Horizon Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Konjura, PT

  • Physical Therapist
  • Waukegan, IL
  • NPI 1316949217

  WI

  Medicare reassignment NPD Authorized official
• Jerome Novak, PT

  • Physical Therapist
  • Kenosha, WI
  • NPI 1861424202
  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1598925554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852246",
            "telephone_number": "847-662-1968",
            "fax_number": "847-249-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852246",
            "telephone_number": "847-662-1968",
            "fax_number": "847-249-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONJURA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "KONJURA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-662-1968",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070-012489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Kline
• Zofia Klodnicka
• Debra L Knight, RN,BSN
• Matthew W Knight, RN
• Kathleen Konjura, PT
• Diana Koperny, RN
• Jocelyn Korattiyil
• Annie Kosiek, DC
• Phoenix Kosing
• Melissa Kosterman

• Physical Therapy Clinic/Center in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.