Myha, Fortesa

Myha, Fortesa is an sole proprietor health care provider with primary practice located at 800 Biesterfield Rd Ste G01 , Elk Grove Village IL 60007-3372. 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. Myha, Fortesa can be contacted via phone (847) 981-3680.

Contact Information

Primary practice address
800 Biesterfield Rd Ste G01 Elk Grove Village IL 60007-3372
Phone: (847) 981-3680
Fax: (847) 956-5122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006125 Illinois

Profile Details

NPI number 1366794190
LBN Legal business name Myha, Fortesa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2012
Last updated Dec 8th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366794190 NPPES
Illinois Other DS2377 RRMC GROUP PTAN
Illinois Other 1720371669 RRMC GROUP PTAN

Popular Providers