Supriya N Klionsky, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

041.312898 Issued in IL

Practice address

1401 W Dundee Rd
Suite 202
Buffalo Grove, IL 60089-4055

Phone

(847) 818-7700

NPI assigned

Dec 19, 2011

Sex

Female

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Personal Doctor Olga Zarkh MD LTD

  dba Olga Zarkh MD

  • Multi-Specialty Clinic/Center
  • Buffalo Grove, IL
  • NPI 1356544944
  Medicare reassignment

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1558630616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W DUNDEE RD",
            "address_2": "SUITE 202",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894055",
            "telephone_number": "847-818-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W DUNDEE RD",
            "address_2": "SUITE 202",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894055",
            "telephone_number": "847-818-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIONSKY",
        "first_name": "SUPRIYA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041.312898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmelita King, CCC-SLP
• Michael Barry Klass, D.D.S.
• Lisa Ellen Klein, ATC
• Amy Kleinklaus-Lee, DO
• Lisa Kleinman, PT, DPT, CLT
• Rita R Knapp, AU.D.
• Jessie Jean Knoble, LSW
• Luiza Kofler, FNP-BC
• Grace Koh, DDS
• Dana L Kolton, MD

• Family Nurse Practitioner in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.