Jennifer M Korn, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005006 Issued in IL

Practice address

4250 Bunker Hill Dr
Algonquin, IL 60102-6725

Phone

(847) 515-2888

Fax

(815) 788-0087

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841372927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 BUNKER HILL DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026725",
            "telephone_number": "847-515-2888",
            "fax_number": "815-788-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 BUNKER HILL DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026725",
            "telephone_number": "847-515-2888",
            "fax_number": "815-788-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "005006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF IL",
            "identifier": "05627371",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Kondrat
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• Gwenn Kontos
• Deborah Koons-Beauchamp, LMFT
• Maria Kordas
• Lisa Kosi, SLP
• Roza Kostecki
• Slawomir Kostecki
• Dawn Koterbski, PA-C
• Agnieszka Kowalska, DPT

• Speech-Language Pathologist in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Speech-Language Pathologist in Illinois

• 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.