DR. OLIVIA KISMARTONI (NPI# 1295008514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295008514 |
| Entity Type | Individual |
| Full Name | DR. OLIVIA KISMARTONI |
| Other Name | LIV KISMARTONI |
| Credential | DVM, MPH |
| Practice Address |
530 Dunham Rd St Charles IL 60174-1404 |
| Mailing Address |
60 W Terra Cotta Ave # B284 Crystal Lake IL 60014-3548 |
| Practice Telephone | 6305847404 |
| Mailing Telephone | 3126226880 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 090.010466 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | VETERINARY LICENSE NUMBER | 090.010466 | 01 |
| Street Address |
530 DUNHAM RD |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720467335 | Sarah Pruss | Veterinarian | 2079 Lincoln Hwy, St Charles, IL 60174-1580 | 2015-05-28 |
| 1326391731 | Amy Hom | Veterinarian | 2002 W Main St, Suite Q, St Charles, IL 60174-1602 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144602434 | Peter Haase | Veterinarian | 1195 E Palatine Rd, Arlington Heights, IL 60004-3313 | 2015-06-23 |
| 1992190441 | Robert Robbins | Veterinarian | 4287 Eldamain Rd, Plano, IL 60545-9711 | 2015-04-01 |
| 1619369824 | Russell Jones | Veterinarian | 720 Kennedy Dr, Metropolis, IL 62960-2630 | 2015-02-25 |
| 1538566278 | Jennifer Armstrong | Veterinarian | 9351 Old Highway 13, Murphysboro, IL 62966-5530 | 2014-11-24 |
| 1700283587 | Catherine O'keefe | Veterinarian | 22096 N Pet Ln, Prairie View, IL 60069-4112 | 2014-11-22 |
| 1770992026 | Andrea Kuehn | Veterinarian | 225 W Division St, Chicago, IL 60610-1820 | 2014-08-11 |
| 1316362908 | Cherlene Delgado | Veterinarian | 820 W Frontage Rd, Northfield, IL 60093-1205 | 2014-02-19 |
| 1265855803 | Shawna Nicole Greene | Veterinarian | 2600 W. Galena Blvd., Aurora, IL 60506 | 2014-02-03 |
| 1922421882 | Christopher Shule | Veterinarian | 11711 Catalpa Ln, Woodstock, IL 60098-6924 | 2014-01-29 |
| 1144643057 | Jared A Cohen | Veterinarian | 3219 N Clark St, Chicago, IL 60657-1997 | 2014-01-28 |
| Find all providers with the same taxonomy | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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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.