ALEX KOSTIV (NPI# 1639317217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639317217 |
| Entity Type | Individual |
| Full Name | ALEX KOSTIV |
| Other Name | OLEKSANDR KOSTIV |
| Credential | M.D. |
| Practice Address |
565 Lakeview Pkwy Suite 190 Vernon Hills IL 60061-1857 |
| Mailing Address |
Po Box 2056 Suite 190 Northbrook IL 60065-2056 |
| Practice Telephone | 8475493171 |
| Mailing Telephone | 8478587367 |
| Mailing Fax Number | 8478250803 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2016-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036.127007 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
565 LAKEVIEW PKWY SUITE 190 |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551752 | Ira F Fenton | Internal Medicine | 565 Lakeview Pkwy, Suite 116, Vernon Hills, IL 60061-1857 | 2005-07-12 |
| 1215365564 | Center for Emotional Peace S.c. | Psychologist | 565 Lakeview Pkwy, Suite 105, Vernon Hills, IL 60061-1857 | 2013-10-24 |
| 1215167184 | Hand Surgery Associates Sc | Specialist | 565 Lakeview Pkwy, Vernon Hills, IL 60061-1857 | 2009-07-24 |
| 1902062763 | Margaret Lee Bell | Chiropractor | 565 Lakeview Pkwy, Suite 100, Vernon Hills, IL 60061-1822 | 2008-07-31 |
| 1144480013 | Vernon Hills Shared Services, LLC | Clinic/Center | 565 Lakeview Pkwy, Vernon Hills, IL 60061-1857 | 2008-06-13 |
| 1184840977 | Lynda D. Toner | Physician Assistant | 565 Lakeview Pkwy, Suite 120, Vernon Hills, IL 60061-1857 | 2007-04-18 |
| 1518088079 | Laura Beth Rosenberg | Counselor | 565 Lakeview Pkwy, Suite 102, Vernon Hills, IL 60061-1857 | 2007-04-03 |
| 1417078858 | Westlake Medical Associates, Ltd | Internal Medicine | 565 Lakeview Pkwy, Suite 117, Vernon Hills, IL 60061-1857 | 2007-04-03 |
| 1861526949 | Prevention Specialist,ltd | Family Medicine | 565 Lakeview Pkwy, Vernon Hills, IL 60061-1857 | 2007-03-14 |
| 1902965098 | A.m. Arshad M.d. S.c. | Pediatrics | 565 Lakeview Pkwy, Suite 192, Vernon Hills, IL 60061-1857 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629098264 | Alena Liberman | Family Medicine | 16001 W Woodbine Cir, Vernon Hills, IL 60061-4110 | 2006-07-19 |
| 1255565990 | Priya Gambhir | Family Medicine | 870 N Milwaukee Ave, Second Floor, Vernon Hills, IL 60061-1521 | 2009-05-10 |
| 1861526949 | Prevention Specialist,ltd | Family Medicine | 565 Lakeview Pkwy, Vernon Hills, IL 60061-1857 | 2007-03-14 |
| 1861536815 | Lodd Medical Group, S.c. | Family Medicine | 6 E Phillip Rd, Suite 1108, Vernon Hills, IL 60061-1700 | 2007-02-15 |
| 1295812964 | Scott M Morcott, Md Sc | Family Medicine | 250 Center Dr, Suite 201, Vernon Hills, IL 60061-1582 | 2006-11-01 |
| 1649376252 | North Suburban Family Healthcare S.c. | Family Medicine | 565 Lakeview Pkwy, Suite 120, Vernon Hills, IL 60061-1857 | 2006-09-15 |
| 1639178726 | Deborah L Winiger | Family Medicine | 565 Lakeview Pkwy, Suite 120, Vernon Hills, IL 60061-1857 | 2005-07-20 |
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| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
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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.