MEDICARE: DR. STOYAN KOKOCHAROV M.D.

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	208600000X	Surgery Physician	35085022	OH
2	208600000X	Surgery Physician	036122525	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	201608381	OTHER		TRICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000353043	OTHER	OH	ANTHEM BC BS
4	04676	OTHER		PARAMOUNT
5	0007744642	OTHER		AETNA

General Provider Information

NPI Number	:	1699715441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STOYAN KOKOCHAROV M.D.

Provider Business Mailing Address
First Line	:	2500 W HIGGINS RD
Second Line	:	SUITE 910
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-7220
Country	:	US
Telephone Number	:	224-412-2156
Fax Number	:	847-648-4141

Provider Business Practice Location Address
First Line	:	2500 W HIGGINS RD
Second Line	:	SUITE 910
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-7220
Country	:	US
Telephone Number	:	224-412-2156
Fax Number	:	847-648-4141

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/01/2025

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Directions to “ DR. STOYAN KOKOCHAROV M.D.” Practice Location

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