Jerry J Itkonen, SC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036060989 Issued in IL

Legal business name

JERRY J ITKONEN, SC

Practice address

71 W 156TH St
Suite 203
Harvey, IL 60426-4260

Phone

(708) 331-0405

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Kim Wylie

Title

Office Manager

Phone

(708) 799-8440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1669697868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18141 DIXIE HWY",
            "address_2": "SUITE 107",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302238",
            "telephone_number": "708-799-8440",
            "fax_number": "708-799-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 156TH ST",
            "address_2": "SUITE 203",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264260",
            "telephone_number": "708-331-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY J ITKONEN, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-799-8440"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036060989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Philip Ison, M.D.
• Jarmo J Itkonen, MD
• J and M Pharmacy Inc (Local Health Pharmacy - Harvey)
• Donna B. Jagmin, RPH
• Trevor Jellison, PA-C
• Annette Johnson
• Britnee M Johnson
• Josephine Johnson
• Yvette M. Johnson, PMHNP-BC
• Jessica Jones, OTA

• Pulmonary Disease Physician in Harvey, IL
• Providers in Harvey, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.