Kamilla Krystyna Kawecki, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277000405 Issued in IL

Practice address

2534 Elim Ave
Zion, IL 60099-2661

Phone

(847) 746-8435

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment NPD
• Embrace Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Villa, IL
  • NPI 1376229617
  Medicare reassignment

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1821500398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N SILVER LEAF LN",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735267",
            "telephone_number": "224-381-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 ELIM AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992661",
            "telephone_number": "847-746-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWECKI",
        "first_name": "KAMILLA",
        "middle_name": "KRYSTYNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016619",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey K . Bergin, DC, Dabci, SC
• Annette Love Jones, PSY.D
• Jobin Joseph
• Mohanad Joudeh, M.D.
• Kirsten Kane
• Harsha Kaza, MD
• Ajaz M. Khan, M.D.
• Fehmida Mirbat Khan, M.D.
• Nazia Khatoon, M.D.
• Raymond Kiefer

• Family Nurse Practitioner in Zion, IL
• Providers in Zion, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.