Jake Lavko

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

041450611 Issued in IL

Practice address

3 Brighton PL
Burr Ridge, IL 60527-5751

Phone

(630) 669-7410

NPI assigned

Jun 15, 2017

Sex

Male

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1992235659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRIGHTON PL",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275751",
            "telephone_number": "708-990-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRIGHTON PL",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275751",
            "telephone_number": "630-669-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVKO",
        "first_name": "JAKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041450611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammaji P. Kulkarni, M. D.
• Patricia L Kurtz, MD
• Jessica L. Kush, LCPC, CCTP, TCTSY-F
• Megan Anne Lamphere, DPT, PT
• Romeen Lavani, MD
• Erica Lawler
• Ann Miller Lawrence, MD
• Darren Le
• Linh Le
• Kwang-Sun Lee, MD

• All providers in Burr Ridge, IL
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.