Kincaid, Octavia
Kincaid, Octavia is an individual health care provider with primary practice located at 1000 Central St Ste 880 , Evanston IL 60201-1780. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kincaid, Octavia can be contacted via phone (847) 570-2570.Contact Information
Primary practice address
1000 Central St Ste 880
Evanston IL 60201-1780
Phone: (847) 570-2570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-109346 | Illinois |
Profile Details
| NPI number | 1710194824 |
|---|---|
| LBN Legal business name | Kincaid, Octavia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Mar 11th, 2021 - about 4 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 | 1710194824 | NPPES |
| Illinois | Other | 036109346 | STATE LICENSE |
Popular Providers
-
Hentati, Afif
2650 Ridge Ave Neurology Burch 309, Evanston IL 60201-1718 -
Munson, Richard John
2650 Ridge Ave Neurology Burch 309, Evanston IL 60201-1718 -
Lin, Helen C.
2650 Ridge Ave Neurology Burch 309, Evanston IL 60201-1718 -
Trevino, Christopher Ray
2650 Ridge Ave. Kellogg Cancer Center, Evanston IL 60201 -
Homer, Daniel
2650 Ridge Ave Neurology Burch 309, Evanston IL 60201-1718 -
Mcmahon, John P
2650 Ridge Ave Neurology Burch 309, Evanston IL 60201-1718 -
Groothuis, Dennis R
2650 Ridge Ave Neurology Burch 309, Evanston IL 60201-1718 -
Campanella, Franco
1000 Central St Ste 800 , Evanston IL 60201-1780