Lora Kosivzoff, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004167 Issued in IL

Practice address

65 E Scott St Apt 14E
Chicago, IL 60610-5278

Phone

(312) 335-1148

Fax

(312) 335-8617

NPI assigned

Feb 22, 2007

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Park Lawn Center

  • Intellectual Disabilities Intermediate Care Facility
  • Oak Lawn, IL
  • NPI 1467761312
  NPD (past)
• Ravi Badlani MDSC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1639363377
  NPD (past)
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Swansea, IL
  • NPI 1437323367
  NPD (past)
• Troupe Health Medical Group, PA

  • Primary Care Clinic/Center
  • Brandon, FL
  • NPI 1154184588
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1740315472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E SCOTT ST APT 14E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105278",
            "telephone_number": "312-335-1148",
            "fax_number": "312-335-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E SCOTT ST APT 14E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105278",
            "telephone_number": "312-335-1148",
            "fax_number": "312-335-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIVZOFF",
        "first_name": "LORA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla Ashley Kosidowski, MD
• Renata Kosiek, DDS
• Ekaterina V Kosinskaya, M.D.
• Nicholas Kosinski
• Kosirog Pharmacy Inc
• Dominique Kosk, RD
• Elizabeth Pauline Koskan, MS, ATC
• Tyler Koski, MD
• Anna R Kosky, DPT
• Adam Kosloff

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.