DEBRA LYNNE KODA (NPI# 1619521986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619521986 |
| Entity Type | Individual |
| Full Name | DEBRA LYNNE KODA |
| Credential | NP-C |
| Practice Address |
9735 Skokie Blvd Skokie IL 60077 |
| Mailing Address |
9735 Skokie Blvd Skokie IL 60077-1383 |
| Practice Telephone | 8473808969 |
| Mailing Telephone | 8473808969 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F07190958 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1820 E Algonquin Rd, Des Plaines, IL 600166707 | 2244890298 |
| Street Address |
9735 SKOKIE BLVD |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417518432 | Midwest Express Care 2, Inc | Clinic/Center | 9735 Skokie Blvd, Skokie, IL 60077-1383 | 2019-06-21 |
| 1760090047 | Sara Schied | Nurse Practitioner | 9735 Skokie Blvd, Skokie, IL 60077-1383 | 2020-07-22 |
| 1033731724 | Maryam Vali | Nurse Practitioner | 9735 Skokie Blvd, Skokie, IL 60077-1383 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223376 | Neetu Ann Mathew | Nurse Practitioner | 4900 Foster St Apt 408, Skokie, IL 60077-1359 | 2020-04-15 |
| 1548808801 | Arlette Meffo Tiam | Nurse Practitioner | 8548 Gross Point Rd, Skokie, IL 60077-2052 | 2019-12-18 |
| 1992341572 | Shila Abraham | Nurse Practitioner | 5216 Madison St, Skokie, IL 60077-2446 | 2019-11-19 |
| 1558906180 | Henelie May Gegantenio | Nurse Practitioner | 4552 Madison St, Skokie, IL 60076-2667 | 2019-11-06 |
| 1891345294 | Mark C Chua | Nurse Practitioner | 4632 Church St Ste 101, Skokie, IL 60076-1545 | 2019-09-17 |
| 1962062208 | Reena James | Nurse Practitioner | 9700 Kedvale Ave, Skokie, IL 60076-1122 | 2019-06-18 |
| 1154984847 | Mayra Alejandra Mohamad | Nurse Practitioner | 9725 Woods Dr Unit 1703, Skokie, IL 60077-4457 | 2019-04-17 |
| 1356904320 | Falguni Patel | Nurse Practitioner | 3450 Oakton St Ste 300, Skokie, IL 60076-2951 | 2019-04-16 |
| 1174028021 | Olusegun Nutayi | Nurse Practitioner | 4711 Golf Rd Fl 12, Skokie, IL 60076-1224 | 2018-03-23 |
| 1528504909 | Desiree Cunningham | Nurse Practitioner | 3300 Crain St, Skokie, IL 60076-2408 | 2017-01-10 |
| Find all providers in SKOKIE | ||||
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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.