DR. OLGA KOZLOVA (NPI# 1477997674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477997674 |
| Entity Type | Individual |
| Full Name | DR. OLGA KOZLOVA |
| Credential | MD |
| Practice Address |
30 Tower Ct Suite C Gurnee IL 60031-3322 |
| Practice Telephone | 8475990715 |
| Practice Fax Number | 8475990766 |
| Mailing Telephone | 8475990715 |
| Mailing Fax Number | 8475990766 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2014-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
268798 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
30 TOWER CT SUITE C |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225090533 | Anwuli O. Okoli | Anesthesiology | 30 Tower Ct, Suite C, Gurnee, IL 60031-3322 | 2006-04-03 |
| 1942754320 | Susan Vonbruenchenhein | Counselor | 30 Tower Ct, Suite C, Gurnee, IL 60031-3322 | 2016-08-15 |
| 1831575141 | Guillermo Contreras | Physical Therapist | 30 Tower Ct, Suite A, Gurnee, IL 60031-3322 | 2015-08-10 |
| 1629478599 | Ganesha Institute of Neurology and Psychiatry Sc | Psychiatry & Neurology | 30 Tower Ct, Suite C, Gurnee, IL 60031-3322 | 2014-08-28 |
| 1568713444 | Yelena Voloshin | Physical Therapist | 30 Tower Ct, Suite A, Gurnee, IL 60031-3322 | 2012-10-02 |
| 1720223373 | Athletico, Ltd | Physical Therapist | 30 Tower Ct, Suite A, Gurnee, IL 60031-3322 | 2008-12-11 |
| 1922279728 | Lisa Shaffer | Physical Therapist | 30 Tower Ct, Suite A, Gurnee, IL 60031-3322 | 2008-03-19 |
| 1689888224 | Michelle Catenacci | Obstetrics & Gynecology | 30 Tower Ct, Suite F, Gurnee, IL 60031-3322 | 2007-05-10 |
| 1376684555 | Bradley Daley | Physical Therapist | 30 Tower Ct, Suite A, Gurnee, IL 60031-3322 | 2007-02-09 |
| 1861557399 | Timothy Stegemann | Family Medicine | 30 Tower Ct, Suite C, Gurnee, IL 60031-3322 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992856678 | Shakuntala Chhabria | Psychiatry & Neurology | 222s Greenleaf St 111, Gurnee, IL 60031-5705 | 2007-01-16 |
| 1184636805 | Shaku Chhabria Neurological Services Sc | Psychiatry & Neurology | 222 S Greenleaf St Ste 111, Gurnee, IL 60031-5705 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700226206 | Aliesje Sorgeloos | Psychiatry & Neurology | 4220 W 95th St Ste 210, Oak Lawn, IL 60453 | 2013-06-28 |
| 1851558001 | Lubov Romantseva | Psychiatry & Neurology | 1725 W Harrison St Ste 718, Department of Pediatrics, Section of Child Neurology, Chicago, IL 60612-3863 | 2008-05-16 |
| 1154597029 | Children's Physician Group | Psychiatry & Neurology | 1473 Commerce Dr, Algonquin, IL 60102-5916 | 2008-05-01 |
| 1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
| 1053481929 | Rita Yadava M.d.s.c. | Psychiatry & Neurology | 1200 South York Rd, 4150, Elmhurst, IL 60126 | 2006-11-08 |
| 1356446306 | Leonard D Elkun Md Sc | Psychiatry & Neurology | 411 W Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-09-14 |
| 1023129145 | Leonard David Elkun | Psychiatry & Neurology | 411 W. Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-08-31 |
| 1811929003 | Charles Nash Swisher | Psychiatry & Neurology | 2515 N Clark Street, Suite, Chicago, IL 60614 | 2006-07-07 |
| 1972543080 | Hossam Hamdi Abdelsalam | Psychiatry & Neurology | 3040 W Salt Creek Ln, Arlington Heights, IL 60005-1069 | 2006-06-07 |
| 1578531950 | David G Ritacco | Psychiatry & Neurology | 225 E Chicago Ave # 51, Chicago, IL 60611-2991 | 2006-03-10 |
| Find all providers with the same taxonomy | ||||
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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.