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
Phone: (847) 662-8341
Fax: (847) 662-8360
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114091303 | NPPES |
| Illinois | MEDICAID | 1005399 |
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