Kociak, Kathleen Ann

Kociak, Kathleen Ann is an sole proprietor health care provider with primary practice located at 2850 W 95Th St Suite 106, Evergreen Park IL 60805-2735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kociak, Kathleen Ann can be contacted via phone (708) 425-9399.

Contact Information

Primary practice address
2850 W 95Th St Suite 106 Evergreen Park IL 60805-2735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209-004338 Illinois

Profile Details

NPI number 1336316603
LBN Legal business name Kociak, Kathleen Ann
Credentials RN, MS, GNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers