Kopparthi, Rom Mohan

Kopparthi, Rom Mohan is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Kopparthi, Rom Mohan can be contacted via phone (847) 723-5313.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Phone: (847) 723-5313
Fax: (847) 723-2338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036069720 Illinois

Profile Details

NPI number 1528151867
LBN Legal business name Kopparthi, Rom Mohan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2006
Last updated Apr 25th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528151867 NPPES
Illinois Other 036069720 ILLINOIS LICENSE
Illinois MEDICAID 036069720IL ILLINOIS LICENSE

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