Loren Dreher Jouett, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

211000079 Issued in IL

Practice address

71 Waukegan Rd Ste 400
Lake Bluff, IL 60044-1634

Phone

(847) 444-0690

Fax

(847) 444-0399

NPI assigned

Feb 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1760982813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE",
            "address_2": "COURT E",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813985",
            "telephone_number": "630-705-4092",
            "fax_number": "630-424-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WAUKEGAN RD STE 400",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441634",
            "telephone_number": "847-444-0690",
            "fax_number": "847-444-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUETT",
        "first_name": "LOREN",
        "middle_name": "DREHER",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213000140",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "IL",
            "license": "212000047",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211000079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia Suzanne Keating-Skaronea

• Prosthetist in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Prosthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.