ANNA KOPERDOWSKI (NPI# 1932524196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932524196 |
| Entity Type | Individual |
| Full Name | ANNA KOPERDOWSKI |
| Credential | APN |
| Practice Address |
155 E Brush Hill Rd Elmhurst IL 60126 |
| Mailing Address |
1200 S York St Ste 2000 Elmhurst IL 60126-5634 |
| Practice Telephone | 3312215411 |
| Practice Fax Number | 3312213718 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209011085 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
209011085 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 E Washington St, Bensenville, IL 601062674 | 3312215411 | |
| 1775 Dempster St, Park Ridge, IL 600681143 | 8477237273 | 8476969540 |
| Street Address |
155 E BRUSH HILL RD |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787552 | Nakia J Mcadoo | Nurse Anesthetist, Certified Registered | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2005-08-18 |
| 1558988592 | Lisa M Nelson | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2020-06-25 |
| 1851916084 | Elzbieta Lebiecki | Pharmacist | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2020-06-12 |
| 1982224531 | Katherine T Heidorn-reed | Occupational Therapist | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2020-04-23 |
| 1952949992 | West Suburban Surgical Assistants LLC | Specialist/Technologist, Other | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2019-12-19 |
| 1649736174 | Mandy Jean Rueff | Nurse Anesthetist, Certified Registered | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2019-02-20 |
| 1144785544 | Anna Campbell | Specialist/Technologist, Other | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2019-02-10 |
| 1083185904 | Erin C Daley | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2018-12-17 |
| 1215407358 | Rosilyn Kattiyaman | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2018-12-02 |
| 1447746201 | Susan Obman | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265706410 | Hsiaoping Chou | Clinical Nurse Specialist | 9233 53rd Avenue, Elmhurst, NY 11373-4624 | 2012-03-06 |
| 1245741131 | Yalto A Mushiyeva | Clinical Nurse Specialist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2017-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942668355 | Joannne Geralyn Delany | Clinical Nurse Specialist | 13133 Meadowview Ln, Homer Glen, IL 60491-9155 | 2016-02-01 |
| 1033559802 | Shannon L Laesch | Clinical Nurse Specialist | 2005 Jacobssen Dr Ste A, Normal, IL 61761-6288 | 2013-06-26 |
| 1427323898 | Kara Michelle Aalfs | Clinical Nurse Specialist | 6n910 Gilmore Dr, Saint Charles, IL 60175-8314 | 2012-03-18 |
| 1528351962 | Kristi Kae Williams | Clinical Nurse Specialist | 530 Ne Glenoak Avenue Pob Suite 108, Peoria, IL 61603-3117 | 2011-05-18 |
| 1427356336 | Lissa J Diefendorf | Clinical Nurse Specialist | 403 W Corrington Ave, Peoria, IL 61604-2803 | 2011-03-02 |
| 1326354358 | Sheila A Harmon | Clinical Nurse Specialist | 654 East 47th St, Access Booker Family Health Center, Chicago, IL 60653-4224 | 2010-08-27 |
| 1689283723 | Michelle Marie Lovsey | Clinical Nurse Specialist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-07-24 |
| 1053942318 | Mary Sue Dailey | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2020-01-27 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1144728155 | Euphemia M Connell | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-24 |
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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.