Jamie Anne Kinberg, B.S.

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

JK40030900P Issued in IL

Practice address

664 Bryn Mawr Ave
Bartlett, IL 60103-5835

Phone

(847) 682-6218

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871614628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 BRYN MAWR AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601035835",
            "telephone_number": "847-682-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 BRYN MAWR AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601035835",
            "telephone_number": "847-682-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINBERG",
        "first_name": "JAMIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "JK40030900P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Katsis Jr., DDS LTD
• Debra G Kautz, PT
• Frances Keating, PT
• Kevin M Massard LTD PC (Massard Ankle & Foot Clinic)
• Nahren Khoshaba, PHARMD
• Mason Joseph Klaas, DC
• Francesca Jeanne Knedlhans, OTR L
• Erin Elizabeth Kobiljak, PA-C
• Ellen R Kochman-Simon, M.D.
• Morgan Kolecke, LCPC

• Developmental Therapist in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Developmental Therapist 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.