Active NPI
Kimberly Dragovic, RN
- Emergency Registered Nurse
- Arlington Heights, IL
National Provider Identifier
1356116545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 041332933
- Practice address
- 800 W Central Rd
Arlington Heights, IL 60005-2349 - Phone
- (847) 618-1000
- NPI assigned
- Nov 17, 2023
- Last updated
- Nov 17, 2023
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 041332933 | IL | Primary |
Addresses
Primary practice location
800 W Central Rd
Arlington Heights, IL 60005-2349
Mailing address
1304 Hoffman Ave
Park Ridge, IL 60068-1627
Phone (773) 297-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041332933 | IL | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1356116545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 HOFFMAN AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681627",
"telephone_number": "773-297-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052349",
"telephone_number": "847-618-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGOVIC",
"first_name": "KIMBERLY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "IL",
"license": "041332933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
- Dr. Jamie Riley, Psychotherapy Practice, LLC
- Dr. Jo Wolthusen
- Dr. Kordas Pediatric Health Care Center, LLC
- Dr. Palermo and Associates, LTD
- Dr.Poles Dental Group Inc. (Omni Dental Group)
- Anne Marie Elizabeth Drahos, MSN, APN, CPNP
- Sophie Drayton, APN-CRNA
- Karen A. Drescher
- Ann Marie Theresa Drew, APRN
- Julia Driker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.