Active NPI
Mary Joanne Korn, P.T.
- Specialist
- Chicago, IL
National Provider Identifier
1861697567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10343-024
- Practice address
- 2139 W Cuyler Ave
Chicago, IL 60618-3013 - Phone
- (312) 401-0359
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10343-024 | WI | Primary |
Addresses
Primary practice location
2139 W Cuyler Ave
Chicago, IL 60618-3013
Mailing address
2139 W Cuyler Ave
Chicago, IL 60618-3013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10343-024 | WI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861697567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 W CUYLER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 W CUYLER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183013",
"telephone_number": "312-401-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORN",
"first_name": "MARY",
"middle_name": "JOANNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "10343-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- 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.