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TERESA WYATT KODIAK APN-CNP, FNP-C
NPI 1902236912
Nurse Practitioner - Family in Chicago, IL

Active since November 13, 2013
611 W ROOSEVELT RD, CHICAGO, IL 60607(773) 570-3382 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teresa Wyatt Kodiak Apn-cnp, Fnp-c NPPES

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

TERESA WYATT KODIAK APN-CNP, FNP-C (NPI 1902236912) is an individual family provider in Chicago, Illinois, licensed in Illinois (219010786) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1902236912
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA WYATT KODIAKCredential: APN-CNP, FNP-C
Location Address611 W ROOSEVELT RDChicago, IL 60607-4911
Mailing Address611 W Roosevelt RdChicago, IL 60607-4911 · (773) 570-3382
Phone(773) 570-3382
Sole ProprietorYes
Enumeration DateNovember 13, 2013
Last NPPES UpdateMarch 24, 2017
✔ NPI 1902236912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 219010786
611 W ROOSEVELT RD, Chicago, IL 60607
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Other Providers at the Same Location NPPES 2

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

DENNIS JOEL LEVINSON M.D.
Internal Medicine
611 W ROOSEVELT RD
CHICAGO, IL 60607
Cook County (312) 674-4010
IORA HEALTH ILLINOIS PHYSICIANS, P.C.
Internal Medicine
611 W ROOSEVELT RD
CHICAGO, IL 60607
Cook County (773) 570-3382

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 Teresa Kodiak's NPI number?

The NPI number for Teresa Kodiak is 1902236912. It was assigned to this individual provider in the NPPES registry on November 13, 2013.

Where is Teresa Kodiak located?

Teresa Kodiak practices at 611 W Roosevelt Rd, Chicago, IL 60607. The listed phone number is (773) 570-3382.

What is Teresa Kodiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Teresa Kodiak was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.