Khomutov, Simona
Khomutov, Simona is an sole proprietor health care provider with primary practice located at 2246 Valencia Dr , Northbrook IL 60062-7044. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Khomutov, Simona can be contacted via phone (847) 970-8041.Contact Information
Primary practice address
2246 Valencia Dr
Northbrook IL 60062-7044
Phone: (847) 970-8041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1942061973 |
|---|---|
| LBN Legal business name | Khomutov, Simona |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2024 |
| Last updated | Jan 17th, 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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