MS. EVON KOPITAS (NPI# 1750460267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750460267 |
| Entity Type | Individual |
| Full Name | MS. EVON KOPITAS |
| Credential | PA-C |
| Practice Address |
5th Avenue and Roosevelt Road Attn: Eye Clinic A116l Hines IL 60141 |
| Mailing Address |
875 E 22nd St Apt 412 Lombard IL 60148-5026 |
| Practice Telephone | 7082022061 |
| Mailing Telephone | 6309539053 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5TH AVENUE AND ROOSEVELT ROAD ATTN: EYE CLINIC A116L |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336191261 | Anthony M Spillie | Social Worker | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-05-17 |
| 1740785807 | Hetalkumar Patel | Pharmacist | 5th Avenue and Roosevelt Road, Bldg 37 Nw, Hines, IL 60141 | 2018-03-29 |
| 1497839955 | Nimisha Ravindra Collins | Psychiatry & Neurology | 5th Avenue and Roosevelt Road, Bldg 228, Hines, IL 60141 | 2006-10-24 |
| 1386734820 | Robert George Verde | Dentist | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-10-13 |
| 1699860882 | Karen F. Clark | Nurse Practitioner | 5th Avenue and Roosevelt Road, Mail Route 111d3, Hines, IL 60141 | 2006-10-04 |
| 1235223488 | Mary Beth Harrison | Specialist/Technologist | 5th Avenue and Roosevelt Road, Building 113, Hines, IL 60141-5000 | 2006-10-03 |
| 1225129661 | Olivia Anne Slavish | Pharmacist | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-09-28 |
| 1447342548 | Lawrence John Cook | Dentist | 5th Avenue and Roosevelt Road, Hines, IL 60141 | 2006-09-28 |
| 1720186406 | Lisa Ann Wells | Recreation Therapist | 5th Avenue and Roosevelt Road, Recreation Therapy 11k, Hines, IL 60141 | 2006-09-20 |
| 1003914169 | Bryan G Gee | Internal Medicine | 5th Avenue and Roosevelt Road, Hines, IL 60141-5000 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174696777 | George F Steffen Jr. | Physician Assistant | 5th Ave and Roosevelt Rd, Hines, IL 60141-5000 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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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.