DR. NICOLE MARIE KOSTELC (NPI# 1821219619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821219619 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MARIE KOSTELC |
| Credential | PHARMD |
| Practice Address |
8400 Willow West Dr Willow Springs IL 60480-1140 |
| Practice Telephone | 7088398990 |
| Mailing Telephone | 7088398990 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
51286199 | IL | Pharmacy Service Providers |
| Street Address |
8400 WILLOW WEST DR |
| City | WILLOW SPRINGS |
| State | IL |
| Zip Code | 60480-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578091666 | Macayla Lenzi | Physical Therapy Assistant | 8434 Cocoran Road, Willow Springs, IL 60480 | 2017-06-01 |
| 1083997662 | Soohyun Jessica Chon | Pharmacist | 131 Patrick Ave, Willow Springs, IL 60480 | 2011-09-21 |
| 1851684625 | Stephen M Wright | Counselor | 8615 Liberty Grove Dr., Willow Springs, IL 60480 | 2011-05-26 |
| 1942509526 | Mainstreet Accessibility Inc | Durable Medical Equipment & Medical Supplies | 8695 South Archer Ave, Unit 7, Willow Springs, IL 60480 | 2011-03-22 |
| 1659743078 | Rayna Murphy | Student in an Organized Health Care Education/Training Program | 8624 Dory Ln, Willow Springs, IL 60480-1025 | 2015-10-25 |
| 1528254331 | Thomas Elliot Krupa | Dentist | 8240 Wolf Rd, Willow Springs, IL 60480-1084 | 2007-09-15 |
| 1407253909 | Agnieszka Rabrich | Chiropractor | 8240 Wolf Rd, Willow Springs, IL 60480-1084 | 2014-11-26 |
| 1538494703 | Krupa Dental Care, P.C. | Clinic/Center | 8240 Wolf Rd, Willow Springs, IL 60480-1084 | 2009-10-06 |
| 1770735433 | Mary Terese Anne Squeo | Recreation Therapist | 8626 Dunbar St, Willow Springs, IL 60480-1165 | 2008-10-14 |
| 1417237017 | Daniel Y. Tam | Pharmacist | 8502 Bucki Ln, Willow Springs, IL 60480-1172 | 2011-08-26 |
| Find all providers in zip 60480 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336702125 | Edgar Auf Dem Graben | Pharmacist | 100 N River Rd Ste G122, Des Plaines, IL 60016-1209 | 2019-04-17 |
| 1467969402 | Hilda Dolapo Hassan | Pharmacist | 2937 Shetland Ln, Montgomery, IL 60538-4104 | 2017-12-29 |
| 1578999348 | Ihuoma C Ozoh | Pharmacist | 18331 Mulberry Terrace, Country Club Hills, IL 60478 | 2013-09-24 |
| 1649619016 | Joel Jay Meyers | Pharmacist | 3107 W Jerome St, Chicago, IL 60645-1142 | 2013-06-19 |
| 1902249790 | Alfredo Villasenor | Pharmacist | 233 Berkshire Dr, Lake Villa, IL 60046-5051 | 2013-04-10 |
| 1730446881 | Bhupendra S Vyas | Pharmacist | 8001 N. Lincoln Ave # 800, C/o Rph On The Go Suite 800, Skokie, IL 60077 | 2012-04-13 |
| 1679848618 | Mark Sly | Pharmacist | 403 N Veterans Pkwy, Bloomington, IL 61704-7718 | 2012-03-08 |
| 1346521333 | Chhaya Patel | Pharmacist | 728 S Taylor Ave, Oak Park, IL 60304-1624 | 2011-09-02 |
| 1780988535 | Mark Norman Gravdal | Pharmacist | 297 Cascade Dr, Crystal Lake, IL 60012-3345 | 2011-01-07 |
| 1972827293 | Cindy Sue Porter | Pharmacist | 2150 N Lincoln Park W, #1411, Chicago, IL 60614-4652 | 2010-03-15 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW SPRINGS |
| Zip Code | 60480 |
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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.