Provider Demographics
NPI:1437557741
Name:KOFLER, LUIZA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LUIZA
Middle Name:
Last Name:KOFLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LUIZA
Other - Middle Name:E
Other - Last Name:KOFLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:1 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2335
Mailing Address - Country:US
Mailing Address - Phone:847-298-3150
Mailing Address - Fax:
Practice Address - Street 1:56 W DUNDEE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-3758
Practice Address - Country:US
Practice Address - Phone:224-601-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-18
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209012300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily