KATHLEEN ANN KOCIAK RN, MS, GNP-BC
NPI 1336316603
Nurse Practitioner - Gerontology in Evergreen Park, IL

Active since May 14, 2008
2850 W 95TH ST, SUITE 106, EVERGREEN PARK, IL 60805(708) 425-9399 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kathleen Ann Kociak Rn, Ms, Gnp-bc NPPES

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

KATHLEEN ANN KOCIAK RN, MS, GNP-BC (NPI 1336316603) is an individual gerontology provider in Evergreen Park, Illinois, licensed in Illinois (209-004338) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1336316603
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATHLEEN ANN KOCIAKCredential: RN, MS, GNP-BC
Location Address2850 W 95TH ST, SUITE 106Evergreen Park, IL 60805-2735
Mailing Address2800 W 87th StChicago, IL 60652-3831 · (773) 863-7503
Sole ProprietorYes
Enumeration DateMay 14, 2008
✔ NPI 1336316603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209-004338
2850 W 95TH ST, Evergreen Park, IL 60805

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Registered Nurse First Assistant)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Internal Medicine (Gastroenterology)
2850 W 95TH ST, SUITE 11
EVERGREEN PARK, IL 60805
Internal Medicine (Hematology & Oncology)
2850 W 95TH ST, 203
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Orthopaedic Surgery
2850 W 95TH ST, SUITE 406
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, 304
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Nurse Practitioner (Family)
2850 W 95TH ST
EVERGREEN PARK, IL 60805

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 Kathleen Kociak's NPI number?

The NPI number for Kathleen Kociak is 1336316603. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Kathleen Kociak located?

Kathleen Kociak practices at 2850 W 95th St Suite 106, Evergreen Park, IL 60805. The listed phone number is (708) 425-9399.

What is Kathleen Kociak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Kathleen Kociak was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.