Koita, Amir Kaderbhai

Koita, Amir Kaderbhai is an sole proprietor health care provider with primary practice located at 1425 S Neltnor Blvd , West Chicago IL 60185-4064. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Koita, Amir Kaderbhai can be contacted via phone (630) 293-7227.

Contact Information

Primary practice address
1425 S Neltnor Blvd West Chicago IL 60185-4064
Phone: (630) 293-7227
Fax: (630) 293-7277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019019496 Illinois

Profile Details

NPI number 1144375296
LBN Legal business name Koita, Amir Kaderbhai
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Sep 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144375296 NPPES
Illinois MEDICAID 1002560

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