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Kokila Avasthi Dds Pc
Clinic/Center in Park City, Illinois
NPI 1346790565

Kokila Avasthi Dds Pc is a Clinic/Center based in Park City, IL. Kokila Avasthi Dds Pc practices in Park City, IL. The NPI Number for Kokila Avasthi Dds Pc is 1346790565 and holds a License No. 019022366 (Illinois).

The current practice location address for Kokila Avasthi Dds Pc is 401 S Greenleaf Ave, Park City, IL and can be reached out via phone at 847-662-8341.

Location: 401 S Greenleaf Ave, Park City, IL, 60085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346790565
Provider Name
Kokila Avasthi Dds Pc
Credential
Provider Entity Type
Organization
Address
401 S Greenleaf Ave, Park City, IL, 60085
Phone Number
847-662-8341
Fax Number
Provider Enumeration Date
10/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114091303 01 IL INDIVIUAL NPI
institution
Provider Business Practice Location Address Details
Address
401 S Greenleaf Ave
City
Park City
State
Illinois
Zip
60085-5744
Phone Number
847-662-8341
Fax Number
person
Provider Business Mailing Address Details
Address
401 S Greenleaf Ave
City
Park City
State
Illinois
Zip
60085-5744
Phone Number
847-662-8341
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
019022366 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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