Kouvelis, Katherine Facklis

Kouvelis, Katherine Facklis is an individual health care provider with primary practice located at 1221 N Highland Ave , Aurora IL 60506-1404. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Kouvelis, Katherine Facklis can be contacted via phone (630) 859-8700.

Contact Information

Primary practice address
1221 N Highland Ave Aurora IL 60506-1404
Phone: (630) 859-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036118061 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036118061 Illinois

Profile Details

NPI number 1861493165
LBN Legal business name Kouvelis, Katherine Facklis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Nov 18th, 2021 - about 3 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 1861493165 NPPES
Illinois Other 0451514334 BLUESHIELD PROVIDER#

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