Krishna, Divya R
Krishna, Divya R is an sole proprietor health care provider with primary practice located at 732 N Fairfield Rd , Round Lake IL 60073-8160. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Krishna, Divya R can be contacted via phone (847) 740-4100.Contact Information
Primary practice address
732 N Fairfield Rd
Round Lake IL 60073-8160
Phone: (847) 740-4100
Fax: (847) 740-4105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019027134 | Illinois |
Profile Details
| NPI number | 1649283284 |
|---|---|
| LBN Legal business name | Krishna, Divya R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jul 21st, 2022 - 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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