Patra, Kousiki

Patra, Kousiki is an individual health care provider with primary practice located at 1653 W Congress Pkwy Murdock 622, Chicago IL 60612-3833. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Patra, Kousiki can be contacted via phone (312) 942-6640.

Contact Information

Primary practice address
1653 W Congress Pkwy Murdock 622 Chicago IL 60612-3833
Phone: (312) 942-6640
Fax: (312) 942-4370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35077993 Ohio
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35077993 Ohio

Profile Details

NPI number 1285623785
LBN Legal business name Patra, Kousiki
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jun 13th, 2011 - about 14 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 1285623785 NPPES
Ohio MEDICAID 2317193

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