TOMASZ A KOSIERKIEWICZ X (NPI# 1487645776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487645776 |
| Entity Type | Individual |
| Full Name | TOMASZ A KOSIERKIEWICZ X |
| Credential | MD |
| Practice Address |
2605 Main St Mount Vernon IL 62864-2372 |
| Mailing Address |
Po Box 2277 Mount Vernon IL 62864-0044 |
| Practice Telephone | 6182427350 |
| Mailing Telephone | 6182427350 |
| Mailing Fax Number | 6182427651 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2012-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036104826 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0361048261 | 05 | |
| IL | BCBS | 04130321 | 01 |
| IL | HEALTHLINK | 463609 | 01 |
| IL | RAILROAD MEDICARE | 130024619 | 01 |
| IL | HEALTH ALLIANCE | 078159 | 01 |
| Street Address |
2605 MAIN ST |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003005463 | King City Surgery Center, S.c. | Surgery | 2605 Main St, Mount Vernon, IL 62864-2372 | 2007-10-22 |
| 1053418780 | Anton Schittek | Surgery | 2605 Main St, Mount Vernon, IL 62864-2372 | 2006-09-17 |
| 1720079015 | Mt Vernon Neurology, S.c. | Psychiatry & Neurology | 2605 Main St, Mount Vernon, IL 62864-2372 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437401072 | Asok K Lahiri Md PC | Psychiatry & Neurology | 12 N 7th Ave, 5th Floor, Mount Vernon, NY 10550-2026 | 2012-10-05 |
| 1487924254 | Kathryn Anne Roberts | Psychiatry & Neurology | 1400 E Kincaid St, Mount Vernon, WA 98274 | 2012-01-10 |
| 1972893238 | Peter J. Struck | Psychiatry & Neurology | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2011-04-07 |
| 1700848405 | Asok Lahiri | Psychiatry & Neurology | 12 N 7th Ave, 5th Floor, Mount Vernon, NY 10550-2026 | 2006-04-06 |
| 1215998125 | Patti Jo Brettell | Psychiatry & Neurology | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-03-30 |
| 1720079015 | Mt Vernon Neurology, S.c. | Psychiatry & Neurology | 2605 Main St, Mount Vernon, IL 62864-2372 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on TOMASZ A KOSIERKIEWICZ X.
| 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.