ROMAN O KOZYCKYJ (NPI# 1184603961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184603961 |
| Entity Type | Individual |
| Full Name | ROMAN O KOZYCKYJ |
| Credential | MD |
| Practice Address |
4700 W 95th St Suite 206 Oak Lawn IL 60453-2533 |
| Practice Telephone | 7082292240 |
| Practice Fax Number | 7082292494 |
| Mailing Telephone | 7082292240 |
| Mailing Fax Number | 7082292494 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2008-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC BC | 01625872 | 01 |
| Street Address |
4700 W 95TH ST SUITE 206 |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205826708 | Dzung X Nguyen | Optometrist | 4700 W 95th St, Suite 102, Oak Lawn, IL 60453-2533 | 2005-10-26 |
| 1902385990 | Elizabeth Peoples | Physician Assistant | 4700 W 95th St, Oak Lawn, IL 60453-2533 | 2018-08-09 |
| 1720539471 | Advocate Health and Hospital Corp | Counselor | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2016-10-18 |
| 1083164347 | Schaelyn Mcfadden | Psychologist | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2016-10-11 |
| 1356700744 | Oak Lawn Health Mart Pharmacy Inc | Pharmacy | 4700 W 95th St, Oak Lawn, IL 60453-2533 | 2016-02-15 |
| 1992172464 | Advocate Healthcare | Counselor | 4700 W 95th St, Ste Ll5, Oak Lawn, IL 60453-2533 | 2015-08-31 |
| 1639546468 | Erin Katherine Hagerty | Counselor | 4700 W 95th St, Suite Ll5, Oak Lawn, IL 60453-2533 | 2015-08-27 |
| 1902288566 | Patricia Zielinski | Optometrist | 4700 W 95th St, Suite 102, Oak Lawn, IL 60453-2533 | 2015-06-19 |
| 1982092193 | Vanessa Houdek | Psychologist | 4700 W 95th St, Suite Ll5, Oak Lawn, IL 60453-2533 | 2014-12-23 |
| 1093067589 | Jenna Mary Felczak-berberich | Psychologist | 4700 W 95th St, Suite Lower Level 5, Oak Lawn, IL 60453-2533 | 2012-10-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760778880 | Christopher Jared Sciamanna | Internal Medicine | 4440 W 95th St Fl 6, Oak Lawn, IL 60453 | 2011-06-27 |
| 1760771968 | Firas Aubeid | Internal Medicine | 4440 W 95th St, 131no, Oak Lawn, IL 60453 | 2011-03-29 |
| 1972812774 | Faiza Hashmi | Internal Medicine | 10837 S Cicero Ave Ste 300, Oak Lawn, IL 60453-6459 | 2010-09-28 |
| 1528374030 | Abhimanyu Saini | Internal Medicine | 5151 W 95th St Fl 2, Oak Lawn, IL 60453-6460 | 2010-08-20 |
| 1174751978 | Ambar Afshar Andrade | Internal Medicine | 4440 W. 95th St, Heart Institute Opp, Advocate Christ Medical Center, Oak Lawn, IL 60453-2600 | 2009-06-30 |
| 1972757409 | Adult Primary Care Center, Ltd. | Internal Medicine | 10837 S Cicero Ave Ste 320, Oak Lawn, IL 60453-5403 | 2008-11-11 |
| 1720250129 | Calero and Associates Healthcare | Internal Medicine | 4712 W 103 Street, Oak Lawn, IL 60453 | 2008-03-26 |
| 1043363708 | Carmen Gnatenco | Internal Medicine | 4938 W 95th St, Oak Lawn, IL 60453-2504 | 2007-01-18 |
| 1902958564 | St Steven Medical Center Ltd | Internal Medicine | 4400 W 95th St Ste 404, Oak Lawn, IL 60453-7216 | 2007-01-16 |
| 1366504326 | Thomas Triantafillou | Internal Medicine | 4220 W 95th St Ste 200, Oak Lawn, IL 60453-3072 | 2006-12-15 |
| Find all providers in OAK LAWN | ||||
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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.