Dr. Van Koinis , DO
Specialist • Evergreen Park, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Van Koinis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Van Koinis, DO was a registered Specialist practicing in Evergreen Park, IL. Throughout an active medical career spanning 14 years, Dr. Koinis provided care at the practice location at 3830 W 95TH ST until profile deactivation on 2019-10-28.
Practice Location & Contact Primary Location
3830 W 95th St
Evergreen Park, IL 608052004
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Evergreen Park, IL
Practicing in Evergreen Park, IL (1322 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 28, 2019
Specialist (License #036083686 in IL)
NPI status registered as active in NPPES database
Registered at 3830 W 95TH ST, EVERGREEN PARK, IL 608052004 (Tel: 7084239400)
Registered at 3830 W 95TH ST, EVERGREEN PARK, IL 608052004 (Tel: 7084239400)
Recorded as VAN KOINIS, D.O.
Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3830 W 95th St
Evergreen Park, IL 608052004
Phone: 7084239400
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