Kentala, Courtney Lee
Kentala, Courtney Lee is an individual health care provider with primary practice located at 9650 Gross Point Rd Ste 2900 , Skokie IL 60076-5006. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kentala, Courtney Lee can be contacted via phone (847) 866-7846.Contact Information
Primary practice address
9650 Gross Point Rd Ste 2900
Skokie IL 60076-5006
Phone: (847) 866-7846
Fax: (847) 383-2210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085009038 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085009038 | Illinois |
Profile Details
NPI number | 1811573264 |
---|---|
LBN Legal business name | Kentala, Courtney Lee |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2021 |
Last updated | Feb 28th, 2024 - about last year |
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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