Kozlov, Kristi Lyn
Kozlov, Kristi Lyn is an sole proprietor health care provider with primary practice located at 3100 Ogden Ave , Lisle IL 60532-1603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Kozlov, Kristi Lyn can be contacted via phone (630) 527-1920.Contact Information
Primary practice address
3100 Ogden Ave
Lisle IL 60532-1603
Phone: (630) 527-1920
Fax: (630) 527-0125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036103302 | Illinois |
Profile Details
| NPI number | 1750443073 |
|---|---|
| LBN Legal business name | Kozlov, Kristi Lyn |
| Credentials | LLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Apr 21st, 2016 - about 8 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 | 1750443073 | NPPES |
| Illinois | Other | 02233058 | BLUE CROSS BLUE SHIELD |
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