Individual
MARY KOMPERDA
Active
Individual
MARY KOMPERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-004003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164530713
CONSULTANTS IN CARDIOVASCULAR MEDICINE, S.C. GROUP NPI NUMBER
IL
01
—
209712
MEDICARE GROUP NUMBER
IL
01
—
31602469
BLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
IL
01
—
961280
MEDICARE GROUP NUMBER
IL
01
—
CC1592
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
K18549
MEDICARE INDIVIDUAL PTAN NUMBER
IL
01
—
P00236752
RAILROAD MEDICARE INDIVIDUAL PROVIDER ID
IL
Enumeration date
05/26/2006
Last updated
08/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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