Imok Therapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

IMOK THERAPY, PLLC

Practice address

1735 E Summit CT
Deerfield, IL 60015-1816

Phone

(847) 660-4402

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Olga V Konyakova, LCSW, CADCNPI 1295334019

Title

Clinician

Phone

(847) 220-7825

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olga V. Konyakova, LCSW, CADC

  • Clinical Social Worker
  • Deerfield, IL
  • NPI 1295334019
  NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1780360495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 E SUMMIT CT",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600151816",
            "telephone_number": "847-220-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 E SUMMIT CT",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600151816",
            "telephone_number": "847-660-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMOK THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "KONYAKOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "847-220-7825",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Huron
• Syed Ishrat Husain, DR, CSA
• Mariyum Hussain
• Leigh Huston, LSW
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• Howard Allen Izenson, M.D.
• David Jackson, MD

• Clinical Social Worker in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.