EMANUELA ANNA KULACH (NPI# 1982053294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982053294 |
Entity Type | Individual |
Full Name | EMANUELA ANNA KULACH |
Credential | D.O |
Practice Address |
3880 Salem Lake Dr Ste F Long Grove IL 60047-5292 |
Practice Telephone | 8477192220 |
Practice Fax Number | 8477192265 |
Mailing Telephone | 8477192220 |
Mailing Fax Number | 8477192265 |
Enumeration Date | 2016-06-07 |
Last Update Date | 2019-07-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
036148710 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | DEA | FK8356152 | 01 |
IL | 036148710 | 05 |
Street Address |
3880 SALEM LAKE DR STE F |
City | LONG GROVE |
State | IL |
Zip Code | 60047-5292 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083662050 | Daniel R. Di Iorio | Chiropractor | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 | 2006-05-04 |
1215492491 | Jakeyla Reed | Nurse Practitioner | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 | 2019-02-01 |
1790258473 | Punam Subhashchandra Trivede | Nurse Practitioner | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 | 2019-01-06 |
1760959209 | Latonya Shinese Vaughn | Registered Nurse | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 | 2018-11-01 |
1194291237 | Angela Rose Depa | Nurse Practitioner | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 | 2018-10-16 |
1033694922 | Helen E Okorie | Nurse Practitioner | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 | 2018-09-26 |
1376024976 | Agnieszka Nieciunski | Nurse Practitioner | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 | 2018-08-22 |
1336627165 | Lana Bratko | Nurse Practitioner | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 | 2018-08-02 |
1942788922 | Shreya Vasavada | Physician Assistant | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 | 2018-08-01 |
1265919112 | Christine Laverne Bolden | Nurse Practitioner | 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 | 2018-07-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
Find all providers in zip 60047 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073549713 | Best Practices Inpatient Care, Ltd. | Family Medicine | 3880 Salem Lake Dr, Ste F, Long Grove, IL 60047-6400 | 2006-06-24 |
1619913522 | Best Practices Inpatient Care, Ltd. | Family Medicine | 3880 Salem Lake Dr, Ste F, Long Grove, IL 60047-6400 | 2006-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
1659915171 | Amanda Marie Wilderman | Family Medicine | 1268 Cole Place Rd, Chester, IL 62233-2054 | 2019-10-29 |
1699277038 | Eileen A Solis | Family Medicine | 1795 Grandstand Pl Ste 2, Elgin, IL 60123-4980 | 2018-03-01 |
1841703584 | Home Physicians of Illinois LLC | Family Medicine | 10027 Frontage Rd, Skokie, IL 60077-1033 | 2017-11-15 |
1770953986 | Mrs Integrative Medicine LLC | Family Medicine | 3s630 Glen Dr S, Warrenville, IL 60555-3506 | 2015-09-30 |
1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
1457767774 | Rambha Radhakrishnan | Family Medicine | 2645 W Peterson Ave, Chicago, IL 60659-4017 | 2014-07-08 |
1851733133 | Pyramids Advisors, Inc. | Family Medicine | 6427 Dempster St, Morton Grove, IL 60053-2604 | 2013-07-26 |
1558707075 | Jean M. Pouget | Family Medicine | 175 Northgate Rd, Riverside, Riverside, IL 60546-1683 | 2013-05-13 |
1629411806 | Rahman Fazil Mohammed Abdul | Family Medicine | 9011 W Ballard Rd Apt 1a, Des Plaines, IL 60016-4987 | 2013-04-08 |
Find all providers with the same taxonomy |
City | LONG GROVE |
Zip Code | 60047 |
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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.