Koth, Dana
Koth, Dana is an individual health care provider with primary practice located at 2100 Pfingsten Rd , Glenview IL 60026-1301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Koth, Dana can be contacted via phone (847) 657-5800.Contact Information
Primary practice address
2100 Pfingsten Rd
Glenview IL 60026-1301
Phone: (847) 657-5800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.005108 | Illinois |
Profile Details
| NPI number | 1275947962 |
|---|---|
| LBN Legal business name | Koth, Dana |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2014 |
| Last updated | Aug 16th, 2015 - about 10 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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