Krisiti Kozlov

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

KRISITI KOZLOV

Practice address

3100 Ogden Ave
Lisle, IL 60532-1603

Phone

(630) 527-1920

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Kristi Kozlov, M.D.

Title

Owner

Phone

(312) 771-2007

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164586160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N DEARBORN ST",
            "address_2": "#2405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606104118",
            "telephone_number": "312-771-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321603",
            "telephone_number": "630-527-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISITI KOZLOV",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOZLOV",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-771-2007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02233058",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph John Kosar Jr., D.N.
• Kristi Lyn Kozlov, LLC
• Aaron N Kraai, DPT
• Paul Kreinbrink, M.D.
• Julia Kribs, DC
• Joshua Otto Krohse, PA
• Richard Krouse, MD
• Suzanne Krueckeberg, PH.D.
• Kelly Krueger, OTR/L
• KV Foot and Ankle PC

• Ophthalmology Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.