DR. NICK S KOUCHIS (NPI# 1184729253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184729253 |
| Entity Type | Individual |
| Full Name | DR. NICK S KOUCHIS |
| Credential | M.D. |
| Practice Address |
3540 Seven Bridges Dr Suite 290 Woodridge IL 60517-1221 |
| Practice Telephone | 6302447656 |
| Practice Fax Number | 6303531846 |
| Mailing Telephone | 6302447656 |
| Mailing Fax Number | 6303531846 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2009-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| Y | 207Q00000X | Family Medicine | 036089784 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3540 SEVEN BRIDGES DR SUITE 290 |
| City | WOODRIDGE |
| State | IL |
| Zip Code | 60517-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032871 | Leonard E Vekkos | Podiatrist | 3540 Seven Bridges Dr, Suite 290, Woodridge, IL 60517-1221 | 2005-09-09 |
| 1881135275 | Kaitlin Rea Macek | Physician Assistant | 3540 Seven Bridges Dr, Suite 230, Woodridge, IL 60517-1221 | 2017-03-17 |
| 1912368994 | Ashley Renner | Nurse Practitioner | 3540 Seven Bridges Dr, Suite 230, Woodridge, IL 60517-1221 | 2016-03-17 |
| 1316280787 | Sunrise Immediate Care | Clinic/Center | 3540 Seven Bridges Dr, Suite 200, Woodridge, IL 60517-1221 | 2013-04-03 |
| 1467577981 | Foot and Ankle Wellness Center | Durable Medical Equipment & Medical Supplies | 3540 Seven Bridges Dr, Suite 290, Woodridge, IL 60517-1221 | 2007-03-21 |
| 1568520013 | Gary Gruendeman | Dentist | 3540 Seven Bridges Dr, Suite 220, Woodridge, IL 60517-1221 | 2006-12-05 |
| 1427124866 | Seven Bridges Surgical Facility | Clinic/Center | 3540 Seven Bridges Dr, Suite 290, Woodridge, IL 60517-1221 | 2006-11-28 |
| 1043386469 | Foot and Ankle Wellness Center At Seven Bridges PC | Podiatrist | 3540 Seven Bridges Dr, Suite 290, Woodridge, IL 60517-1221 | 2006-11-28 |
| 1851492912 | Mike Kett | Physical Therapist | 3540 Seven Bridges Dr, Suite 240, Woodridge, IL 60517-1221 | 2006-09-25 |
| 1598860694 | Christopher A. Troscinski | Dentist | 3540 Seven Bridges Dr, Suite 220, Woodridge, IL 60517-1221 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265085401 | Sana Saqlain | Pharmacist | 10204 Werch Dr, Ste 302, Woodridge, IL 60517 | 2019-07-17 |
| 1326529421 | Allison Ann Chavez | Counselor | 6912 Young Ct, Woodridge, IL 60517 | 2018-08-27 |
| 1245768274 | Monika Maria Waclaw | Dentist | 6440 Main St Ste 310, Woodridge, IL 60517 | 2017-06-04 |
| 1003278946 | Beverly Ehlebracht | Physical Therapy Assistant | 7409 Woodrige Dr, Suite F, Woodrige, IL 60517 | 2016-03-21 |
| 1831597194 | Advanced Wellness Medical, LLC | General Practice | 6325 Main Street, Suite 120, Woodridge, IL 60517 | 2014-12-18 |
| 1538576608 | Northwest Home Care, Inc. | Home Health | 1999 75th Street, Suite 201, Woodridge, IL 60517 | 2014-07-21 |
| 1689956591 | Latha Boyd | Pharmacist | 2501 W 75th St, Woodridge, IL 60517 | 2011-09-16 |
| 1437431798 | Timothy J Madiar | Pharmacist | 2501 West 75th Street, Woodridge, IL 60517 | 2011-09-13 |
| 1720368426 | Matthew Scalzitti | Pharmacist | 7215 Janes Ave. #300, Woodridge, IL 60517 | 2011-08-25 |
| 1538454558 | Karen Hokanson | Pharmacist | 2333 W 63rd St, Woodridge, IL 60517 | 2011-06-17 |
| Find all providers in zip 60517 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609908383 | Renu Gupta | Family Medicine | 1221 Longford St, Woodridge, IL 60517-7748 | 2007-03-09 |
| 1437185980 | Kirtikumar P Talsania | Family Medicine | 5 Yellow Star Ct, Woodridge, IL 60517-1702 | 2006-06-25 |
| 1508833500 | Glenn Nelson | Family Medicine | 7409 Woodridge Dr, Woodridge, IL 60517-2249 | 2006-03-08 |
| 1366416380 | Jonathan David Meek | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2006-02-15 |
| 1194709253 | Tri County Medical Associate PC | Family Medicine | 20 Broadway, Woodridge, NY 12789-0546 | 2005-12-02 |
| 1427439462 | Helena Ann Keag | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2015-06-16 |
| 1316334816 | Lydia S Bruce | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2015-04-22 |
| 1982041471 | Laura Marie Norman | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2013-05-24 |
| 1528309879 | Elita Lois Hohner | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2013-03-12 |
| 1790046860 | Sonali Bhatnagar | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2012-06-05 |
| Find all providers in WOODRIDGE | ||||
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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.