MEDICARE: SUZANA SUZY KOKOTOVIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker		IL
2	390200000X	Student in an Organized Health Care Education/Training Program		IL

General Provider Information

NPI Number	:	1336003011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANA SUZY KOKOTOVIC

Provider Business Mailing Address
First Line	:	5759 N KIMBALL AVE APT 203
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4532
Country	:	US
Telephone Number	:	312-778-3558
Fax Number	:

Provider Business Practice Location Address
First Line	:	5759 N KIMBALL AVE APT 203
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4532
Country	:	US
Telephone Number	:	312-778-3558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

Similar Medicare Providers

1386767937 — RESURRECTION SERVICES
Practice Location Address:

3101 N HARLEM AVE , RESURRECTION OPEN MRI IMAGING CENTER
CHICAGO, IL
60634-4532

Practice Phone: 773-836-9360
Practice Fax: 773-745-5522

1679758288 — MID AMERICA ANESTHESIA LLC
Practice Location Address:

3101 N HARLEM AVE
CHICAGO, IL
60634-4532

Practice Phone: 773-889-2000
Practice Fax:

1629256961 — BELMONT/HARLEM SURGERY CENTER, LLC
Practice Location Address:

3101 N HARLEM AVE
CHICAGO, IL
60634-4532

Practice Phone: 773-889-2000
Practice Fax:

1851628630 — PRESENCE AMBULATORY SERVICES
Practice Location Address:

3101 N HARLEM AVE
CHICAGO, IL
60634-4532

Practice Phone: 773-836-9360
Practice Fax: 773-745-5522

1922336908 — JONATHAN A SENAL SERVICE CORPORATION
Practice Location Address:

3101 N HARLEM AVE
CHICAGO, IL
60634-4532

Practice Phone: 773-889-2000
Practice Fax:

1629411699 — MS. EUNICE SUMMERS LMT
Practice Location Address:

4655 S LAKE PARK AVE
CHICAGO, IL
60653-4532

Practice Phone: 312-450-9307
Practice Fax:

Directions to “ SUZANA SUZY KOKOTOVIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.