Kathleen Ann Kociak, RN, MS, GNP-BC | |
2850 W 95th St, Suite 106, Evergreen Park, IL 60805-2735 | |
(708) 425-9399 | |
Not Available |
Full Name | Kathleen Ann Kociak |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 2850 W 95th St, Evergreen Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336316603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 209-004338 (Illinois) | Primary |
Entity Name | Paragon Clinical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114139946 PECOS PAC ID: 7214034925 Enrollment ID: O20070515000051 |
Mailing Address | Practice Location Address |
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Kathleen Ann Kociak, RN, MS, GNP-BC 2800 W 87th St, Chicago, IL 60652-3831 Ph: (773) 863-7503 | Kathleen Ann Kociak, RN, MS, GNP-BC 2850 W 95th St, Suite 106, Evergreen Park, IL 60805-2735 Ph: (708) 425-9399 |
Angelika Fiedorowicz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2955 W 95th St, Evergreen Park, IL 60805 Phone: 331-204-5896 | |
Kristin Rogers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 | |
Eilish Marie Mulvey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 | |
Mrs. Vanessa Elizabeth Galloway, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805 Phone: 708-422-7715 | |
Kunjumol Pullathra Velayudhan, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3650 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-7715 Fax: 708-422-7816 | |
Christine Cho, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-229-5002 | |
Matthew David Rathbun, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2955 W 95th St, Evergreen Park, IL 60805 Phone: 331-814-2186 |