DR. ETHAN CHAD KOSOVA (NPI# 1053674002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053674002 |
| Entity Type | Individual |
| Full Name | DR. ETHAN CHAD KOSOVA |
| Credential | M.D., M.P.H. |
| Practice Address |
3825 Highland Ave Ste 210 Downers Grove IL 60515 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-3597 |
| Practice Telephone | 6309676125 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036137166 | IL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036137166 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 251 E Huron St, Chicago, IL 606112908 | 3129262000 | |
| 3825 Highland Ave Ste 210, Downers Grove, IL 60515 | 6309676125 |
| Street Address |
3825 HIGHLAND AVE STE 210 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578733192 | Ann M Nelson | Nurse Practitioner | 3825 Highland Ave Ste 210, Downers Grove, IL 60515-1561 | 2008-03-11 |
| 1205356003 | Michael Christopher Green | Physician Assistant | 3825 Highland Ave Ste 210, Downers Grove, IL 60515-1561 | 2017-06-22 |
| 1497284673 | Andrew Theophilus Lenart | Physician Assistant | 3825 Highland Ave Ste 210, Downers Grove, IL 60515-1561 | 2017-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568720753 | Jeffrey Brian Ziffra Jr. | Internal Medicine | 3825 Highland Ave Ste 400, Downers Grove, IL 60515 | 2012-04-25 |
| 1255658993 | Vinay Arora | Internal Medicine | 3825 Highland Ave, Downers Grove, IL 60515 | 2010-04-20 |
| 1326094699 | Gaile Sabaliauskas | Internal Medicine | 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515-1552 | 2006-05-26 |
| 1548216302 | Joseph Clarence Marek | Internal Medicine | 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515-1552 | 2006-05-25 |
| 1548215817 | Mohamed Ziad Sinno | Internal Medicine | 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515-1552 | 2006-05-24 |
| 1952353872 | Jordan Lee Weinstein | Internal Medicine | 3825 Highland Ave, Suite 400, Downers Grove, IL 60515-1552 | 2006-05-17 |
| 1659323574 | Diane Elizabeth Wallis | Internal Medicine | 3825 Highland Ave, Suite 400, Downers Grove, IL 60515-1552 | 2006-05-17 |
| 1013982099 | Kenneth P. Brin | Internal Medicine | 3825 Highland Ave, Tower 2 - Suite 400, Downers Grove, IL 60515-1552 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on DR. ETHAN CHAD KOSOVA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.