EMANUELA ANNA KULACH


Address: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292
Phone: 8477192220

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
036148710 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL DEA FK8356152 01
IL 036148710 05

Office Location

Street Address 3880 SALEM LAKE DR STE F
City LONG GROVE
State IL
Zip Code 60047-5292

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LONG GROVE
Zip Code 60047

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Dataset Information

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.

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