Modelyne Essien Kanam

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005816 Issued in IL

Practice address

1000 Sunset Ridge Rd
Northbrook, IL 60062-4008

Phone

(224) 235-4639

NPI assigned

Jul 27, 2022

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

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1861128282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 GALITZ ST APT 102",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772740",
            "telephone_number": "847-877-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUNSET RIDGE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624008",
            "telephone_number": "224-235-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAM",
        "first_name": "MODELYNE",
        "middle_name": "ESSIEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Joy Kalfen, M.S. CCC SLP
• Shari Kalik-Miller, MS, NCC, LPC, JD
• Sanjida Kamal, RBT-18-50095
• Marcy Kamen, MD
• Karolina Sophie Kamysz
• Lily Kanefield
• Florence Kang
• Josephine M Kannenberg
• Lauren Kantor, M.S.
• Melissa Kapidis

• Occupational Therapy Assistant in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.