Individual provider Active NPI

Linda Marie Kolka, APN

  • Family Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1013404151
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017615 Issued in IL
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

Updated by the provider on Mar 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515000538 IL Practitioner - Nurse Practitioner 4082957006 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.017615ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC Single Specialty CurrentSince May 22, 2023 Accepting new patients
Rockford Health Physicians Single Specialty CurrentSince Apr 7, 2019 Accepting new patients
MD @ Home Illinois, SC Single Specialty CurrentSince May 24, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.