Jan Wendy Itzkowitz, M.ED., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166000200 Issued in IL

Practice address

404 Indian Hill Dr
Buffalo Grove, IL 60089-3208

Phone

(847) 459-1737

Fax

(847) 459-1737

NPI assigned

Feb 20, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 7, 2024 through May 7, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435363200000",
    "number": "1861467284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 INDIAN HILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893208",
            "telephone_number": "847-459-1737",
            "fax_number": "847-459-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 INDIAN HILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893208",
            "telephone_number": "847-459-1737",
            "fax_number": "847-459-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITZKOWITZ",
        "first_name": "JAN",
        "middle_name": "WENDY",
        "name_prefix": "Ms.",
        "credential": "M.ED., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2015-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "011281622",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLU CROSS/BLUE SHIELD",
            "identifier": "04932072",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrity Physical Therapy, Inc.
• Irina K. Harag, M.D., LTD
• Elizabeth Isaacs, PT
• Isd Buffalo Grove LLC
• It Consulting & Diagnostics Inc
• Andrew Ivanchenko, M.D.
• Katryn Ivashnev
• Aybek Izzatov, LMT
• J I Frank, MD, SC
• Bernadette Cadiz Jackson, DPT

• Marriage & Family Therapist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.