Kamila Kozicki-Bonnert, M.H.S.-CCC/SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146008081 Issued in IL

Practice address

888 N Merrill St
Park Ridge, IL 60068-2746

Phone

(847) 778-6985

NPI assigned

Mar 14, 2017

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 names 1

• Ms. Kamila Kozicki Former name

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": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1912448614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 N MERRILL ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682746",
            "telephone_number": "847-778-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 N MERRILL ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682746",
            "telephone_number": "847-778-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZICKI-BONNERT",
        "first_name": "KAMILA",
        "name_prefix": "Mrs.",
        "credential": "M.H.S.-CCC/SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMILA",
            "last_name": "KOZICKI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Kottra, LCSW
• Dejan Kotur, DC
• Brenna Kathleen Kouzoukas, FNP-BC
• Ivan Kovbel, MD
• Robert Stephen Kozelka, DDS
• Donald John Koziol, M.D.
• Nikola Ewa Koziol
• KP Dental Inc.
• Wendy Frech Kramer, L.C.S.W.
• Sara Koveleski Kraut, DPT

• Speech-Language Pathologist in Park Ridge, IL
• Providers in Park Ridge, 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 Mar 14, 2017; 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.