Jasminka Kostic, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036104292 Issued in IL

Practice address

3114 W Irving Park Rd
Chicago, IL 60618-3406

Phone

(773) 588-6680

Fax

(773) 588-6451

NPI assigned

Dec 15, 2005

Last updated

Feb 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1073599775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183406",
            "telephone_number": "773-588-6680",
            "fax_number": "773-588-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183406",
            "telephone_number": "773-588-6680",
            "fax_number": "773-588-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTIC",
        "first_name": "JASMINKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036104292",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036104292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104292",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tia Kostas
• Grant Ryan Koster, PT, MSPT, ATC, CSCS
• Anna Kostevich, MD
• Aleksandra Kostic, MD
• Amanda Kostic, NP-C
• Maja Kostic, NP
• Camryn Mae Kostick, MA
• Rickie Kostiner, MA, LCPC
• Caroline Ann Kostiuk
• Kari Shay Kostopoulos

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.