George Koveshnikov

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

155 E Brush Hill Rd
Elmhurst, IL 60126-5658

Phone

(331) 221-1000

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• West Suburban Surgical Assistants LLC

  • Surgical Assistant
  • Elmhurst, IL
  • NPI 1952949992
  NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1245351253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CHANTICLEER LN",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605215023",
            "telephone_number": "773-315-0935",
            "fax_number": "815-795-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "331-221-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVESHNIKOV",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine L Koutsky, NP
• Snezana Kovacevic
• Kovach Eye Institute, LTD
• Kevin J Kovach, M.D.
• Stanley Joseph Kovak, M.D.
• Michael Kowal
• Lisa Kay Kracinski, APN
• David J Kraman, MD
• Jason Bradley Kramer, M.D.
• Owen Neale Kramer

• Surgical Assistant in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.