HEATHER KODER PTA
NPI 1285435172
Specialist/Technologist, Other in Great Lakes, IL

Q: What is Heather Koder's NPI number?

The NPI number for Heather Koder is 1285435172. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Q: What is Heather Koder's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Koder was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2025

USS TRANQUILITY 3410 ILLINOIS ST, GREAT LAKES, IL 60088(224) 392-6914 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Heather Koder Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER KODER PTA (NPI 1285435172) is an individual specialist/technologist, other provider in Great Lakes, Illinois, licensed in Illinois (160.009101) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1285435172

Entity TypeIndividualFemale

Primary Taxonomy246Z00000X

Provider Legal NameHEATHER KODERCredential: PTA

Location AddressUSS TRANQUILITY 3410 ILLINOIS STGreat Lakes, IL 60088

Mailing Address3852 N Pontiac AveChicago, IL 60634-1929

Phone(224) 392-6914

Sole ProprietorNo

Enumeration DateMarch 24, 2025

NPPES CertifiedMarch 19, 2025

✔ NPI 1285435172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246Z00000X

License✔ Licensed in IL · 160.009101

Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

USS TRANQUILITY 3410 ILLINOIS ST, Great Lakes, IL 60088

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Koder's NPI number?

The NPI number for Heather Koder is 1285435172. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Heather Koder located?

Heather Koder practices at Uss Tranquility 3410 Illinois St, Great Lakes, IL 60088. The listed phone number is (224) 392-6914.

What is Heather Koder's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Heather Koder was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.