Isabella Christine Korsgard

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.015932 Issued in IL

Practice address

1123 Greenleaf Ave
Wilmette, IL 60091-2708

Phone

(847) 707-6744

NPI assigned

Oct 18, 2021

Last updated

Dec 29, 2021By the provider in NPPES

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  dba Axes Physical Therapy

  • Physical Therapist
  • Clinton, IL
  • NPI 1376917187

  Speech-Language Pathologist

  Medicare reassignment NPD
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD
• Lagrange Area Dept Spec Ed

  • Local Education Agency (LEA)
  • La Grange, IL
  • NPI 1023401817
  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1649933623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417594",
            "telephone_number": "914-924-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 GREENLEAF AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912708",
            "telephone_number": "847-707-6744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W Cossitt Ave",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "IL",
            "postal_code": "605252145",
            "country_code": "US",
            "telephone_number": "708-354-5730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORSGARD",
        "first_name": "ISABELLA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.015932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig S. Kohler, DDS.
• Andrew Eric Kohn, O.D.
• Lynett Marie Kopec-Mohr, ATR, LCPC
• Ewa Kopec, M.S., P.T.
• Amelia Eades Koplow, LCSW
• Chloe Korst, OTR/L
• Liborka Kos, M.D.
• Camille Ann Kott, APRN
• Koziol Therapy and Coaching, LLC
• Ievgeniia Krasnopolskiy, NP

• Speech-Language Pathologist in Wilmette, IL
• Providers in Wilmette, 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 Dec 29, 2021; 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.