GLORY KOSMATKA (NPI# 1114399219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114399219 |
Entity Type | Individual |
Full Name | GLORY KOSMATKA |
Practice Address |
800 Main St Ste 5 Antioch IL 60002-1542 |
Mailing Address |
Po Box 887 Lake Villa IL 60046-0887 |
Practice Telephone | 8478389904 |
Mailing Telephone | 8478389904 |
Enumeration Date | 2015-10-28 |
Last Update Date | 2015-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
180005858 | IL | Behavioral Health & Social Service Providers |
Street Address |
800 MAIN ST STE 5 |
City | ANTIOCH |
State | IL |
Zip Code | 60002-1542 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
Find all providers in zip 60002 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720699648 | Khamaria Wright | Counselor | 5160 Rice Rd Apt 236, Antioch, TN 37013-2041 | 2020-08-13 |
1316562580 | Joseph James Benton | Counselor | 2495 Vallecito Way, Antioch, CA 94531-9066 | 2020-06-12 |
1902381593 | New Leaf Counseling LLC | Counselor | 311 W Depot St Ste F, Antioch, IL 60002-1500 | 2018-09-28 |
1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
1629420013 | Jessica Rivers | Counselor | 1480 Rice Hill Cir, Antioch, TN 37013-2199 | 2016-07-08 |
1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
1376909341 | Toy Lisa Mitchell | Counselor | 4804 Trappers Rdg, Antioch, TN 37013-2707 | 2016-01-06 |
1386019602 | Abdullah Hassaan | Counselor | 3304 Timber Trl, Antioch, TN 37013-1011 | 2015-12-11 |
1528459344 | Jared Prentiss | Counselor | 5320 Hickory Hollow Pkwy, Antioch, TN 37013-3128 | 2015-02-16 |
1679987887 | Mahmood Ketabchi | Counselor | 3700 Delta Fair Blvd Ste 200b, Antioch, CA 94509-4072 | 2014-06-16 |
Find all providers in ANTIOCH |
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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.