Active NPI
Nada Kostich
- Anesthesiology Physician
- Oak Brook, IL
National Provider Identifier
1629305701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036052991
- Practice address
- 211 Saint Michael CT
Oak Brook, IL 60523-2556 - Phone
- (630) 936-9780
- Fax
- (630) 323-3341
- NPI assigned
- Nov 10, 2009
- Last updated
- Nov 10, 2009
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036052991 | IL | Primary |
Addresses
Primary practice location
211 Saint Michael CT
Oak Brook, IL 60523-2556
Mailing address
211 Saint Michael CT
Oak Brook, IL 60523-2556
Phone (630) 936-9780
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036052991 | IL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1629305701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SAINT MICHAEL CT",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232556",
"telephone_number": "630-936-9780",
"fax_number": "630-323-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SAINT MICHAEL CT",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232556",
"telephone_number": "630-936-9780",
"fax_number": "630-323-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTICH",
"first_name": "NADA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036052991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.