Jolanta Koc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

10729 S Meadow LN
Palos Hills, IL 60465-2222

Phone

(773) 595-6099

NPI assigned

Apr 25, 2024

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1710733357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10729 S MEADOW LN",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652222",
            "telephone_number": "773-595-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10729 S MEADOW LN",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652222",
            "telephone_number": "773-595-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOC",
        "first_name": "JOLANTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Alejandra Khazzoun
• Yasmeen Delia Kherwish
• Kidney Care Center South
• Jeffery L Kirscher, DDS
• Lauren Ann Klancic, MA, QMHP
• Sara Kozera
• Nicole Noelle Kreps, AUD., CCC-A
• Rhonda Krisik, P.T.A.
• Gary Adam Kronen, MD
• Lisa Kuban, LCPC

• Early Intervention Provider Agency in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.