Evon Kopitas, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

5TH Avenue and Roosevelt Road
Attn: Eye Clinic A116L
Hines, IL 60141

Phone

(708) 202-2061

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750460267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 E 22ND ST APT 412",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485026",
            "telephone_number": "630-953-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH AVENUE AND ROOSEVELT ROAD",
            "address_2": "ATTN: EYE CLINIC A116L",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPITAS",
        "first_name": "EVON",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Kolman, PHARM.D.
• Olivia Kolodziej
• Usha Kolpe, M.D.
• Maureen Mary Komperda, NP
• Myounghee Chae Koo, M.D.
• Edwin Edward Kopytko, MS, RN, CNS
• Lisa A. Korpolinski, R.D., C.D.E.
• Timothy Paul Korwin
• Natalia Kos, MSW
• Bozena L Kosowicz, LPN

• Surgical Physician Assistant in Hines, IL
• Providers in Hines, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.