Gogineni, Jyothi
Gogineni, Jyothi is an individual health care provider with primary practice located at 10370 Haligus Rd Ste 117 , Huntley IL 60142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Gogineni, Jyothi can be contacted via phone (815) 338-6600.Contact Information
Primary practice address
10370 Haligus Rd Ste 117
Huntley IL 60142
Phone: (815) 338-6600
Fax: (847) 702-7207
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036-122492 | Illinois |
Profile Details
NPI number | 1265624282 |
---|---|
LBN Legal business name | Gogineni, Jyothi |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2007 |
Last updated | Oct 19th, 2018 - about 6 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 | 1265624282 | NPPES |
Illinois | Other | 036122492 | STATE LICENSE |
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