OrganizationActive
Jerry J Itkonen, Sc
NPI 1669697868 · Pulmonary Disease Physician · Harvey, IL
Provider details
- NPI number
- 1669697868
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Wylie, Office Manager(708) 799-8440
- License
- 036060989 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
71 W 156th St
Suite 203
Harvey, IL 60426-4260
Phone: (708) 331-0405
Street-level locationGet directions
Mailing address
18141 Dixie Hwy
Homewood, IL 60430-2238
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2008-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.