Avasthi, Kokila

Avasthi, Kokila is an sole proprietor health care provider with primary practice located at 401 Greenleaf Ave Suite 3, Park City IL 60085-5744. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Avasthi, Kokila can be contacted via phone (847) 662-8341.

Contact Information

Primary practice address
401 Greenleaf Ave Suite 3 Park City IL 60085-5744
Fax: (847) 662-8360
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1114091303
LBN Legal business name Avasthi, Kokila
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114091303 NPPES
Illinois MEDICAID 1005399

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