KATHLEEN ANN KOCIAK (NPI# 1336316603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336316603 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANN KOCIAK |
| Credential | RN, MS, GNP-BC |
| Practice Address |
2850 W 95th St Suite 106 Evergreen Park IL 60805-2735 |
| Mailing Address |
2800 W 87th St Chicago IL 60652-3831 |
| Practice Telephone | 7084259399 |
| Mailing Telephone | 7738637503 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209-004338 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2850 W 95TH ST SUITE 106 |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760480 | Michael R Fiorucci | Surgery | 2850 W 95th St, Suite 306, Evergreen Park, IL 60805-2735 | 2005-06-16 |
| 1295197697 | Shina Keaonis Gordon | Nurse Practitioner | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2016-03-24 |
| 1659757888 | Yvonne Oldaker | Advanced Practice Midwife | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2015-08-11 |
| 1386037984 | Leslie Kelly | Nurse Practitioner | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2015-03-06 |
| 1558754291 | Gina Marie Chigaros | Counselor | 2850 W 95th St, Mary Potter Pavilion Suite 403, Evergreen Park, IL 60805-2735 | 2015-03-05 |
| 1629487806 | Deon Shere Cooper | Registered Nurse | 2850 W 95th St, Suite 301, Evergreen Park, IL 60805-2735 | 2014-08-12 |
| 1750621884 | Cynthia M Hayes | Clinical Nurse Specialist | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2013-02-27 |
| 1336488212 | The Cardiology Group | Clinical Nurse Specialist | 2850 W 95th St, Suite 305, Evergreen Park, IL 60805-2735 | 2013-02-12 |
| 1255608808 | Kunhunn Vellody Md | Clinic/Center | 2850 W 95th St, Suite 201, Evergreen Park, IL 60805-2735 | 2011-11-28 |
| 1457649121 | Ryan Kukor | Internal Medicine | 2850 W 95th St, Suite 102, Evergreen Park, IL 60805-2735 | 2011-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295379543 | Clarence G Rojo | Nurse Practitioner | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
| 1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
| 1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.