Individual provider Active NPI

Vonna Lee Karoghlanian, P.T.

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1740268986
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4849 North Milwaukee Ave
Suite 405a
Chicago, IL 60630-2169
Phone
(773) 283-9800
Fax
(773) 283-9899
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

4849 North Milwaukee Ave
Suite 405a
Chicago, IL 60630-2169

Mailing address

4849 North Milwaukee Ave
Suite 405a
Chicago, IL 60630-2169
Phone (773) 283-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740268986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 NORTH MILWAUKEE AVE",
            "address_2": "SUITE 405A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302169",
            "telephone_number": "773-283-9800",
            "fax_number": "773-283-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 NORTH MILWAUKEE AVE",
            "address_2": "SUITE 405A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302169",
            "telephone_number": "773-283-9800",
            "fax_number": "773-283-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAROGHLANIAN",
        "first_name": "VONNA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.