Phoebe Jerousek, OTD, OTR/L

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

056010277 Issued in IL

Practice address

1204 Wesley Ave
Evanston, IL 60202-1131

Phone

(773) 595-5640

NPI assigned

May 6, 2015

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1922486265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 WESLEY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 WESLEY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021131",
            "telephone_number": "773-595-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROUSEK",
        "first_name": "PHOEBE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "056010277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Jensen, MD
• Susannah Jensen, MD
• Gihane E. Jeremie-Brink, PH.D.
• Jeremy Arron Schwartz DPM LTD
• Stephanie Jeret
• Jerry S. Kreiman, Ma, Acsw, LTD
• Joy S. Jeschke, APN-CRNA
• Jan Marie Jeske, MD
• Michael J Jeske, LCSW
• Cheryl Lynn Jezwinski, PHARMD

• Early Intervention Provider Agency in Evanston, IL
• Providers in Evanston, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.