KELLEY KOZMA (NPI# 1518168202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518168202 |
Entity Type | Individual |
Full Name | KELLEY KOZMA |
Credential | DO |
Practice Address |
2900 N Lake Shore Dr Ste 7e Chicago IL 60657-5640 |
Practice Telephone | 7736659920 |
Practice Fax Number | 7736659130 |
Mailing Telephone | 7736659920 |
Mailing Fax Number | 7736659130 |
Enumeration Date | 2007-05-30 |
Last Update Date | 2014-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036125517 | IL | Allopathic & Osteopathic Physicians |
Street Address |
2900 N LAKE SHORE DR STE 7E |
City | CHICAGO |
State | IL |
Zip Code | 60657-5640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
Find all providers in zip 60657 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
1225337017 | Karan Singh Dixit | Internal Medicine | 675 N Saint Clair St Ste 21-110, Chicago, IL 60611-5975 | 2011-03-20 |
1801034830 | Jonas Araujo De Souza | Internal Medicine | 5200 S Ellis Ave, Apt 118n, Chicago, IL 60615-4365 | 2009-01-29 |
1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
1275713307 | John Baxter Watson Md Sc | Internal Medicine | 2900 N Lake Shore Dr # 458, Chicago, IL 60657-5640 | 2007-11-06 |
1043499866 | Solomon Adler | Internal Medicine | 2828 W Coyle Ave, Chicago, IL 60645-2922 | 2007-10-29 |
1821113234 | Sami Atassi Md Ltd | Internal Medicine | 2600 S Michigan Ave Ste 308, Chicago, IL 60616-2857 | 2007-03-21 |
Find all providers in CHICAGO |
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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.