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Active NPI 1922486265 Individual Practitioner Female Practitioner

Dr. Phoebe Jerousek , OTD, OTR, L

Early Intervention Provider Agency • Evanston, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Phoebe Jerousek, OTD, OTR, L is a registered healthcare professional specializing in Early Intervention Provider Agency in Evanston, IL. Official NPI practice address is registered at 1204 WESLEY AVE.

Practice Location & Contact Primary Location

Practice Address

1204 Wesley Ave

Evanston, IL 602021131

Telephone 7735955640

Specialty Benchmarks & Practice Insights

Comparative analytics for Early Intervention Provider Agency in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Evanston, IL (131 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-17
Early Intervention Provider Agency Primary Specialty

NUCC Taxonomy Code: 252Y00000X

State License IL 056010277

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 17, 2026

Registered at 1204 WESLEY AVE, EVANSTON, IL 602021131 (Tel: 7735955640)

📍
Updated Business Mailing Address July 17, 2026

Registered at 1204 WESLEY AVE, EVANSTON, IL 602021131

👤
Provider Name / Credentials Updated July 17, 2026

Recorded as PHOEBE JEROUSEK, OTD, OTR/L

NPI Profile Active May 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2015

Registered at 4848 N SHERIDAN RD, 506, CHICAGO, IL 606406931 (Tel: 7735955640)

📍
Updated Business Mailing Address May 06, 2015

Registered at 4848 N SHERIDAN RD, 506, CHICAGO, IL 606406931

👤
Provider Name / Credentials Updated May 06, 2015

Recorded as PHOEBE KINZIE-LARSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2015

Early Intervention Provider Agency (License #056010277 in IL)

🟢
Initial NPI Registration & Enumeration May 06, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922486265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2015
Last Update: July 17, 2026
Sole Proprietor: Yes

Mailing Address

1204 Wesley Ave

Evanston, IL 602021131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.