Ellen R Kozob (NPI# 1972842284, PAC ID# 3678885845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1972842284 |
| PAC ID by PECOS | 3678885845 |
| Professional Enrollment ID | I20150630002023 |
| Full Name | Ellen R Kozob |
| Organization Legal Name | MYEYEDR. OPTOMETRY OF ILLINOIS, LLC |
| Address |
5408 N Clark St Chicago IL 60640-1210 |
| Phone Number | 7732752020 |
| Gender | F |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3577869965 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5408 N Clark St, Chicago, IL 60640-1210 | 7732752020 | MYEYEDR. OPTOMETRY OF ILLINOIS, LLC |
| Organization Legal Name | MYEYEDR. OPTOMETRY OF ILLINOIS, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ambreen J. Rahman | Optometry | Myeyedr. Optometry of Illinois, LLC | 29 E Madison St, Chicago, IL 60602-3298 |
| Svetlana Roytman | Optometry | Myeyedr. Optometry of Illinois, LLC | 1407 N Milwaukee Ave, Chicago, IL 60622-2015 |
| Janaki Patel | Optometry | Myeyedr. Optometry of Illinois, LLC | 2146 N Halsted St, Chicago, IL 60614-4397 |
| Andrew J Mulder | Optometry | Myeyedr. Optometry of Illinois, LLC | 10550 S Cicero Ave, Oak Lawn, IL 60453-5267 |
| Sarah Fong | Optometry | Myeyedr. Optometry of Illinois, LLC | 2000 Central St, Evanston, IL 60201-2218 |
| Street Address |
5408 N CLARK ST |
| City | CHICAGO |
| State | IL |
| Zip | 60640-1210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ridhi Patel | Optometry | Myeyedr Optometry of Illinois LLC | 5408 N Clark St, Chicago, IL 60640-1210 |
| Scott Michael Amoruso | Optometry | Myeyedr Optometry of Illinois LLC | 5408 N Clark St, Chicago, IL 60640-1210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine A Sachnoff | Psychologist, Clinical | 4840 N Marine Dr, Chicago, IL 60640-1067 | |
| Stacey L Knowles | Physical Therapy | 1830 W Foster Ave, Suite Cw, Chicago, IL 60640-1087 | |
| Carolyn A Mildner | Psychologist, Clinical | 1645 W Gregory St, Chicago, IL 60640-1161 | |
| Stacie M Hauenstein | Physical Therapy | Athletico Ltd | 5545 N Clark St, Chicago, IL 60640-1222 |
| Ing Swenson | Clinical Social Worker | Chicago Mindful Psychotherapy, Inc. | 5537 N Clark St, Suite 1, Chicago, IL 60640-1222 |
| Stephen J Hooley | Physical Therapy | Athletico Ltd | 5545 N Clark St, Chicago, IL 60640-1222 |
| Oliver N Beirne | Physical Therapy | Athletico Ltd | 5545 N Clark St, Chicago, IL 60640-1222 |
| Chris A Stephenson | Physical Therapy | Athletico Ltd | 5545 N Clark St, Chicago, IL 60640-1222 |
| Kristin Keglovitz Baker | Physician Assistant | Howard Brown Health Center | 5537 N Broadway St, Chicago, IL 60640-1405 |
| Catherine M Creticos | Internal Medicine | Howard Brown Health Center | 5537 N Broadway St, Chicago, IL 60640-1405 |
| Find all physicians in zip 60640 | |||
| City | CHICAGO |
| Zip Code | 60640 |
| Specialty | OPTOMETRY |
| City + Specialty | CHICAGO + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.