IRENE COPAK (NPI# 1205332509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205332509 |
| Entity Type | Individual |
| Full Name | IRENE COPAK |
| Other Name | IRENE COPAK |
| Credential | APRN |
| Practice Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
| Mailing Address |
4755 E 105th Ct Crown Point IN 46307-7625 |
| Practice Telephone | 7086848000 |
| Mailing Telephone | 2193081440 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
209013181 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4440 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805666 | Kenneth S. Toth | Anesthesiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2005-07-15 |
| 1821697392 | Marissa Vavra | Occupational Therapist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-25 |
| 1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
| 1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
| 1255943999 | Kristen Michele Hill | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-08-22 |
| 1033735295 | Thomas Panicucci | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-23 |
| 1538785407 | Amanda Thompson | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-17 |
| 1508481250 | Amy Marie Fader | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-09 |
| 1528680139 | Nader Hamzeh Darwish | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-18 |
| 1003438920 | Anna Manilla | Speech-Language Pathologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831623636 | Sheri Moonan | Clinical Nurse Specialist | 4440 W 95th St, 6324p- Lung Transplant Office, Oak Lawn, IL 60453-2600 | 2017-04-18 |
| 1982938106 | Michelle E Nellett | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-09-21 |
| 1225263148 | Hazel Boncodin | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-05-20 |
| 1225272099 | Cheryl Boncodin Nguyen | Clinical Nurse Specialist | 4400 W 95th St, Pob 407, Oak Lawn, IL 60453-2654 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316153984 | Constance A Wright | Clinical Nurse Specialist | 5758 South Maryland, Chicago, IL 60637 | 2007-05-14 |
| 1215076153 | Elizabeth (beth) T Zimmermann | Clinical Nurse Specialist | 5839 So. Maryland Ave., Mc4062-ucch, Chicago, IL 60637 | 2007-02-06 |
| 1104272079 | Candice White | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-05-10 |
| 1982029856 | Jennifer Casey | Clinical Nurse Specialist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2014-02-28 |
| 1336578582 | Pamela Heydorn | Clinical Nurse Specialist | 133 E Brush Hill Rd, Ste. 202, Elmhurst, IL 60126-5659 | 2013-11-08 |
| 1073956777 | Leslie Ann Collins | Clinical Nurse Specialist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2013-04-11 |
| 1841539616 | Darla Jo Bradle | Clinical Nurse Specialist | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2013-02-13 |
| 1306183173 | Ann L Miller | Clinical Nurse Specialist | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2013-01-13 |
| 1831444082 | Ann Czarny | Clinical Nurse Specialist | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2012-07-13 |
| 1275848244 | Stacie Rae Ward | Clinical Nurse Specialist | 675 N Saint Clair St Ste 19-100, Northwestern Medical Group, Chicago, IL 60611-5969 | 2010-08-13 |
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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.