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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1861493165 | NPPES |
Illinois | Other | 0451514334 | BLUESHIELD PROVIDER# |
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