MR. EDWIN EDWARD KOPYTKO (NPI# 1518974633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518974633 |
| Entity Type | Individual |
| Full Name | MR. EDWIN EDWARD KOPYTKO |
| Credential | MS, RN, CNS |
| Practice Address |
Fifth Avenue and Roosevelt Road Hines IL 60141 |
| Mailing Address |
8918 Oxford St Woodridge IL 60517-4967 |
| Practice Telephone | 7082028387 |
| Practice Fax Number | 7082024572 |
| Mailing Telephone | 7082028387 |
| Mailing Fax Number | 7082024562 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
FIFTH AVENUE AND ROOSEVELT ROAD |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811940547 | Eileen Mary Cora | Social Worker | Fifth Avenue and Roosevelt Road, Hines, IL 60141 | 2006-05-17 |
| 1831274174 | Jeffrey Thomas Wieczorkiewicz | Pharmacist | Fifth Avenue and Roosevelt Road, Hines, IL 60141 | 2006-10-26 |
| 1518052059 | Christina W Rivers | Pharmacist | Fifth Avenue and Roosevelt Road, Pharmacy Practice 119k, Hines, IL 60141-1234 | 2006-10-03 |
| 1437253614 | Eui S Kim | Pharmacist | Fifth Avenue and Roosevelt Road, Hines Va Medical Center, Hines, IL 60141 | 2006-09-11 |
| 1699701573 | Julie M Stein-gocken | Pharmacist | Fifth Avenue and Roosevelt Road, Pharmacy Service (119), Hines, IL 60141 | 2006-06-23 |
| 1013960749 | Frank Redin Vozak IIi | Social Worker | Fifth Avenue and Roosevelt Road, Hines, IL 60141 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689603177 | Ellen Maxson | Clinical Nurse Specialist | Hines Veterans Administration, Hines, IL 60141-9910 | 2006-06-30 |
| 1902904618 | Belen De La Rosa | Clinical Nurse Specialist | 5th Ave & Roosevelt Road, Building 228, Room 3067, Hines, IL 60141 | 2006-09-20 |
| 1477580900 | May M. Sundberg | Clinical Nurse Specialist | 5th Avenue and Roosevelt Road, (116a3), Hines, IL 60141 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102814 | Rl Group | Clinical Nurse Specialist | 2008 N Lawler Ave, Chicago, IL 60639-3136 | 2019-06-09 |
| 1184090847 | Logan Health & Healing Center, Inc | Clinical Nurse Specialist | 5844 Elaine Dr, Suite B, Rockford, IL 61108-2494 | 2015-08-18 |
| 1669620480 | Cynthia Hodson Kerber | Clinical Nurse Specialist | 1 Westbrook Corporate Ctr Ste 300, Westchester, IL 60154-5709 | 2008-09-04 |
| 1467624775 | Laureen Lewis | Clinical Nurse Specialist | 4750 N Sheridan Rd, #434, Chicago, IL 60640-7528 | 2008-03-26 |
| 1114197324 | Rhonda Fried | Clinical Nurse Specialist | 265 Stonegate Rd Ste 102, Algonquin, IL 60102-5614 | 2008-03-04 |
| 1669472379 | Mary Lee Dunning | Clinical Nurse Specialist | 126 S Lincoln Blvd, Centralia, IL 62801-3654 | 2005-07-22 |
| 1710519335 | Linq Care Inc | Clinical Nurse Specialist | 50 S Main St Ste 200, Naperville, IL 60540-5485 | 2020-02-11 |
| 1215365036 | Joyce Azzaline | Clinical Nurse Specialist | 1401 Lakewood Dr, Ste A, Morris, IL 60450-3352 | 2013-10-15 |
| 1356625966 | Vine Street Clinical Associates, LLC | Clinical Nurse Specialist | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2011-09-30 |
| 1073801189 | Mary Jane Welch | Clinical Nurse Specialist | 2150 W Harrison St, Chicago, IL 60612-3706 | 2011-07-11 |
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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.