Kovak Medical Services PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

KOVAK MEDICAL SERVICES PC

Doing business as

Kovak Dermatology and Laser Institute

Practice address

17W535 Butterfield Rd
Oakbrook Terrace, IL 60181-4010

Phone

(630) 758-0470

Fax

(630) 758-0471

NPI assigned

Aug 29, 2013

Last updated

Nov 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stanley Kovak, MDNPI 1598875320

Title

Owner

Phone

(630) 758-0470

Specialties & licenses 1

Addresses

Other names 1

• Kovak Dermatology and Laser Institute Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stanley Joseph Kovak, M.D.

  • General Practice Physician
  • Elmhurst, IL
  • NPI 1598875320
  NPD (past) Authorized official

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1699109363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W535 BUTTERFIELD RD",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814010",
            "telephone_number": "630-758-0470",
            "fax_number": "630-758-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W535 BUTTERFIELD RD",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814010",
            "telephone_number": "630-758-0470",
            "fax_number": "630-758-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOVAK MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "KOVAK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-758-0470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kovak Dermatology and Laser Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristopher David Knopp, M.D.
• Sarah Koldenhoven, MSN, FNP
• Thomas J Komperda, DPT
• Raymond Joseph Konior, MD
• Rhonda Kay Kotarinos, DPT
• Martha Kretzschmar
• Matt J Kriebs, APRN, FNP-BC
• Kristina Lynn Kruskol, PHARMD
• Margaret Bridget Kuchan, PTA
• Madison Lake-Wickham, RN

• Dermatology Physician in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.