Olga Kozlova, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

036133912 Issued in IL

Practice address

9933 Lawler Ave Ste 313
Skokie, IL 60077-3783

Phone

(847) 450-7737

Fax

(844) 412-9768

NPI assigned

Apr 18, 2013

Last updated

Jul 27, 2023By 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 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ganesha Institute of Neurology and Psychiatry SCGroup PAC ID 0042432296, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Senior Home Health Agency Home health agency, Park Ridge, IL, CCN 148059
• Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
• Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
• Direct secure messaging: okozlova273630@cityofhope.direct-ci.com
• Direct secure messaging: olga.kozlova.1@9664.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adult and Pediatric Neurology

  • Neurology with Special Qualifications in Child Neurology Physician
  • Skokie, IL
  • NPI 1720532773

  Single Specialty

  Medicare reassignment NPD Authorized official
• Ganesha Institute of Neurology and Psychiatry SC

  dba A Ray of Hope: The Great Lakes Institute of Neurology and Psychiatry

  • Neurology Physician
  • Libertyville, IL
  • NPI 1629478599

  Single Specialty

  Medicare reassignment Care Compare group NPD
• City of Hope Medical Group of Illinois PLLC

  • Specialist
  • Zion, IL
  • NPI 1548258072

  Single Specialty

  Medicare reassignment NPD
• MD @ Home Illinois, SC

  dba Housecall Physicians of Illinois, SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1568758415

  Single Specialty

  Medicare reassignment NPD
• Rockford Health Physicians

  dba Mercyhealth Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886

  Single Specialty

  Medicare reassignment NPD
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289

  Single Specialty

  Medicare reassignment NPD
• Oncology Hematology Associates of Northern Illinois, LTD

  • Hematology & Oncology Physician
  • Gurnee, IL
  • NPI 1093142135
  NPD
• Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Kenosha, WI
  • NPI 1619731320
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chunji-One, Corporation

  dba Senior Home Health Agency

  • Home Health Agency
  • Park Ridge, IL
  • NPI 1245362623
  Care Compare affiliation
• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1578932869
  Care Compare affiliation
• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1770531600
  Care Compare affiliation
• Riverside Medical Center

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1538208210
  Care Compare affiliation
• St Marys Hospital - Kankakee LLC

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1467290809
  Care Compare affiliation

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1477997674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 313",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773783",
            "telephone_number": "847-450-7737",
            "fax_number": "844-412-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 313",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773783",
            "telephone_number": "847-450-7737",
            "fax_number": "844-412-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOVA",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IL",
            "license": "036133912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720532773",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan M Kost, LCSW
• Heather Marie Kotowicz, APN
• Patricia Ann Kowalczyk, RD, CDE
• Michelle L. Kowalski, LCSW
• Radoslaw Koziol
• Angelica Kozlowski, APN
• Richard Joseph Krach, PT, CWS
• Lena A Kramer, PA-C
• Samuel Kranc, RPH
• Inna Krasilnikova

• Neurology with Special Qualifications in Child Neurology Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.