Organization
JERRY J ITKONEN, SC
Active
Organization
JERRY J ITKONEN, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WYLIE (OFFICE MANAGER)
(708) 799-8440
Entity
Organization
Contact information
Practice address
71 W 156TH ST, SUITE 203, HARVEY, IL 60426-4260
(708) 331-0405
Mailing address
18141 DIXIE HWY, SUITE 107, HOMEWOOD, IL 60430-2238
(708) 799-8440
(708) 799-8446
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036060989
IL
Other
Enumeration date
04/16/2007
Last updated
08/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up