MR. TYLER JAMES KOSTECKI PA-C NPI 1598275562

NPI Information

NPI: 1598275562
Provider Name: MR. TYLER JAMES KOSTECKI, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: RIVERSIDE MEDICAL, S.C.

PECOS Registration: Yes

Address:
3405 NORTH ARLINGTON HEIGHTS ROAD
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (847) 577-9300
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MR. Tyler James Kostecki, PA-C is a medical physician assistant in Arlington Heights, IL with 7 years of experience. MR. Tyler James Kostecki, PA-C NPI is 1598275562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3405 NORTH ARLINGTON HEIGHTS ROAD
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (847) 577-9300
Fax: (847) 577-9318

The NPI 1598275562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2017 and was last updated on 10/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0.85006331	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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