Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Konstantins Kociasvili, MD

Individual provider Adult Medicine Physician · NPI 1588854848

Konstantins Kociasvili, MD is a Family Practice in Glenview, Illinois. Qualified in 2001, 25 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3633 W Lake Ave Ste 307
Glenview, IL 60026-5803
Phone: (847) 626-8722
Fax: (847) 316-9502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 036135325 (IL)

Record details

NPI number1588854848
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 1, 2007
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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