ALEXANDER KICHAKOV (NPI# 1659576247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659576247 |
| Entity Type | Individual |
| Full Name | ALEXANDER KICHAKOV |
| Credential | LAT |
| Practice Address |
0 S 050 Winfield Road Suite 120 Winfield IL 60190 |
| Mailing Address |
2400 N Crescent Ln Aurora IL 60504-6016 |
| Practice Telephone | 6306534743 |
| Practice Fax Number | 6306534912 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
0 S 050 WINFIELD ROAD SUITE 120 |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033373071 | Kathryn L Stednitz | Physical Therapist | 0 S 050 Winfield Road, Suite 120, Winfield, IL 60190-1277 | 2008-07-17 |
| 1326247008 | Lucas M Schultz | Specialist/Technologist | 0 S 050 Winfield Road, Winfield, IL 60190 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162004 | Marissa Rae Burch | Specialist/Technologist | 59 Liddie Lou, Winfield, MO 63389-3138 | 2019-03-07 |
| 1164973103 | Arista Groom | Specialist/Technologist | 300 Viking Blvd, Winfield, KS 67156-2508 | 2016-10-14 |
| 1467909242 | Amanda Watson | Specialist/Technologist | 1820 Warren Ave # 89, Winfield, KS 67156-1937 | 2016-09-08 |
| 1366999146 | Delaney Osborne | Specialist/Technologist | 1820 Warren Ave # 462, Winfield, KS 67156-1937 | 2016-09-08 |
| 1376502435 | Lisa-marie A. Gray | Specialist/Technologist | 25 North Winfield Rd., Suite 505, Winfield, IL 60190 | 2006-03-18 |
| 1669085767 | Jaclyn Deane Carranza | Specialist/Technologist | 100 College St, Winfield, KS 67156-2499 | 2020-08-28 |
| 1558972984 | Cassidy Rae Bryant | Specialist/Technologist | 100 College St, Winfield, KS 67156-2443 | 2020-08-10 |
| 1649776089 | Jose Chavarria Jr. | Specialist/Technologist | 100 College St, Winfield, KS 67156-2443 | 2018-04-04 |
| 1871001925 | Myra Tiu | Specialist/Technologist | 100 College St, Winfield, KS 67156-2443 | 2018-01-10 |
| 1568749513 | Gretchen Kathleen Daumen | Specialist/Technologist | 25 North Winfield Rd, Winfield, IL 60190 | 2011-11-04 |
| Find all providers in WINFIELD | ||||
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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.