Individual provider Active NPI

Catherine Nelson Kozlowski, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1811274970
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085001512 Issued in IL
Practice address
3021 North Sheffield Avenue
Chicago, IL 60673-5643
Phone
(872) 843-0550
NPI assigned
Nov 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085001512 IL Primary

Addresses

Primary practice location

3021 North Sheffield Avenue
Chicago, IL 60673-5643

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

2450 Wolf Rd
Westchester, IL 60154-5643
Phone (877) 632-6637

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ckozlowski272876@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221114002719 IL Practitioner - Physician Assistant 7416325915 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

836 W Wellington
Suite G346
Chicago, IL 60657-5147
Phone (773) 296-7147

836 W Wellington Ave
Chicago, IL 60657-5147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085001512ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC Physician Assistant CurrentSince Nov 25, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 26, 2024 Accepting new patients
Orthomidwest, PLLC CurrentSince Nov 25, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 26, 2024 Accepting new patients
Midwest Orthopaedics at Rush LLC CurrentSince Nov 1, 2022 Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244

29373 Network Pl
Chicago, IL 60673

3021 N Sheffield Ave
Chicago, IL 60657
Phone (773) 296-7450

2450 Wolf Rd
Ste F
Westchester, IL 60154
Phone (708) 236-2750

2450 Wolf Rd
Westchester, IL 60154
Phone (708) 409-1300

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • Direct secure messaging: catherine.kozlowski.1@12576.direct.athenahealth.com
  • Direct secure messaging: ckozlowski272876@direct.myadvocateaurora.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1811274970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 NORTH SHEFFIELD AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735643",
            "telephone_number": "872-843-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545643",
            "country_code": "US",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "CATHERINE",
        "middle_name": "NELSON",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckozlowski272876@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3021 North Sheffield Avenue",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606735643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3021 North Sheffield Avenue",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606735643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.