MAILA CHARINA D. COSICO (NPI# 1336601244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336601244 |
| Entity Type | Individual |
| Full Name | MAILA CHARINA D. COSICO |
| Credential | APRN |
| Practice Address |
355 Ridge Ave Evanston IL 60202-3328 |
| Practice Telephone | 8473166318 |
| Mailing Telephone | 8473166318 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209019104 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
355 RIDGE AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380820 | James Douglas Glass | Anesthesiology | 355 Ridge Ave, Evanston, IL 60202-3328 | 2005-07-20 |
| 1710588496 | Paritosh Prasai | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-11-08 |
| 1750989653 | Emre Can Ozcekirdek | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-10-13 |
| 1689288664 | Bidhya Poudel | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-07 |
| 1578177614 | Pankaj Luitel | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3399 | 2020-09-05 |
| 1184238289 | Qishuo Zhang | Internal Medicine | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-04 |
| 1184238297 | Kritika Yadav | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-04 |
| 1205440427 | Bimatshu Pyakuryal | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3399 | 2020-09-04 |
| 1689288904 | Arjab Adhikari | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-03 |
| 1205449014 | Rameej Revanta Thapa | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
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| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508328410 | Houri Papazian | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2019-04-01 |
| 1609943661 | Junine Darby Degraf | Nurse Practitioner | 2650 Ridge Ave, Division of Nephrology Rm 3213, Evanston, IL 60201-1718 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636475 | Monika Sitko | Nurse Practitioner | 3 E 14th Pl, Lombard, IL 60148-4574 | 2020-10-10 |
| 1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
| 1013521038 | Eziaha R Georgewill | Nurse Practitioner | 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 | 2020-09-08 |
| 1447870274 | 15 Park Place LLC | Nurse Practitioner | 15 Park Pl Ste 1, Swansea, IL 62226-2918 | 2020-04-22 |
| 1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
| 1699315697 | Kelsey L Proehl | Nurse Practitioner | 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 | 2020-01-08 |
| 1992343248 | Maryanne M Smith | Nurse Practitioner | 805 W Deyoung St Ste D, Marion, IL 62959-1602 | 2019-12-17 |
| 1730724451 | Suzana None Nikitovic | Nurse Practitioner | 2815 Regner Rd, Mchenry, IL 60051-6942 | 2019-11-18 |
| 1104461870 | Swanson Family Practice LLC | Nurse Practitioner | 733 N Logan Ave Ste 1, Danville, IL 61832-4378 | 2019-11-16 |
| 1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
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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.