Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285435172 Individual Practitioner Female Practitioner

Heather Koder , PTA

Specialist/Technologist, Other • Great Lakes, IL

Professional Overview & Biography Verified Profile Summary

Heather Koder, PTA is a registered healthcare professional specializing in Specialist/Technologist, Other in Great Lakes, IL. Practice services are available at USS TRANQUILITY 3410 ILLINOIS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Uss Tranquility 3410 Illinois St

Great Lakes, IL 60088

Telephone 2243926914

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other in Great Lakes, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Great Lakes, IL (63 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-19
Specialist/Technologist, Other Primary Specialty

NUCC Taxonomy Code: 246Z00000X

State License IL 160.009101

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

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 24, 2025

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2025

Registered at USS TRANQUILITY 3410 ILLINOIS ST, GREAT LAKES, IL 60088 (Tel: 2243926914)

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Updated Business Mailing Address March 24, 2025

Registered at 3852 N PONTIAC AVE, CHICAGO, IL 606341929

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Provider Name / Credentials Updated March 24, 2025

Recorded as HEATHER KODER, PTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2025

Specialist/Technologist, Other (License #160.009101 in IL)

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Initial NPI Registration & Enumeration March 24, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285435172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2025
Last Update: March 24, 2025
Sole Proprietor: No

Mailing Address

3852 N Pontiac Ave

Chicago, IL 606341929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.