Kolbaba, Scott J
Kolbaba, Scott J is an individual health care provider with primary practice located at 7 Blanchard Cir Suite 106, Wheaton IL 60187-1037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kolbaba, Scott J can be contacted via phone (630) 580-7600.Contact Information
Primary practice address
7 Blanchard Cir Suite 106
Wheaton IL 60187-1037
Phone: (630) 580-7600
Fax: (630) 580-7624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036060253 | Illinois |
Profile Details
| NPI number | 1396776613 |
|---|---|
| LBN Legal business name | Kolbaba, Scott J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Aug 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396776613 | NPPES |
| Illinois | MEDICAID | 036060253 |
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