Stayko N Kolev, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012716 Issued in IL

Practice address

4904 Western Ave
Downers Grove, IL 60515-3240

Phone

(708) 415-8139

NPI assigned

Nov 26, 2014

Sex

Male

Sole proprietor

Yes

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Premise Health of Illinois Medical PC

  • Primary Care Clinic/Center
  • Mount Vernon, IL
  • NPI 1427366921
  Medicare reassignment NPD
• Premise Health of Illinois Medical PC

  • Multi-Specialty Clinic/Center
  • Lisle, IL
  • NPI 1073025235
  NPD
• Premise Health of Illinois Medical PC

  • Multi-Specialty Clinic/Center
  • Utica, IL
  • NPI 1295518868
  NPD

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1558768119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 WESTERN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153240",
            "telephone_number": "708-415-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 WESTERN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153240",
            "telephone_number": "708-415-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLEV",
        "first_name": "STAYKO",
        "middle_name": "N",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Beth Kobialko
• Lawrence C Kocen
• Julie Koerner, NP
• Kelli Kohlstedt, ALMFT
• William Edward Kolbusz
• Katherine Elizabeth Kolinski, MA, LPC, CADC
• Jami Kolonski, LPC
• Andriana Koltko
• Kelly Komperda, DPT
• Rhonda L Konarski, MD

• Chiropractor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.