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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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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