Active NPI
Linda Marie Kolka, APN
- Family Nurse Practitioner
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.017615
- Practice address
- 333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624 - Phone
- (224) 205-7866
- Fax
- (224) 205-7865
- NPI assigned
- Apr 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.017615 | IL | Primary |
Addresses
Primary practice location
333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624
Mailing address
333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624
Phone (630) 508-9653
Other names 1
- Linda Marie Kolka
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.017615 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Immediate Care North Chicago LLC | Single Specialty | Current | Accepting new patients |
| Rockford Health Physicians | Single Specialty | Current | Accepting new patients |
| MD @ Home Illinois, SC | Single Specialty | Current | Accepting new patients |
Locations
9501 S Western Ave
Chicago, IL 60643
Phone (773) 344-9465
2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
29 N Northwest Hwy
Palatine, IL 60067
Phone (847) 931-5555
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDJCAD/Endpoint/GDJCAD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
Single Specialty
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1013404151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SKOKIE BLVD STE 112",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621624",
"telephone_number": "630-508-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SKOKIE BLVD STE 112",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621624",
"telephone_number": "224-205-7866",
"fax_number": "224-205-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLKA",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-14",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.017615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "KOLKA",
"middle_name": "MARIE",
"credential": "LINDA MARIE KOLKA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.