Konstantins Kociasvili in Glenview - Adult Medicine
Konstantins Kociasvili - NPI 1588854848
Konstantins Kociasvili is a Adult Medicine in Glenview, Illinois. Konstantins Kociasvili practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Konstantins Kociasvili is 1588854848. The last update date is 2023-01-13.
Konstantins Kociasvili's current location address is 3633 W Lake Ave Ste 307, Glenview, Illinois. You can contact this provider via phone number 8476268722 and fax number 8473169502. The mailing address for Konstantins Kociasvili is 3633 W Lake Ave Ste 307, Glenview, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Konstantins Kociasvili |
|---|---|
| Address | 3633 W Lake Ave Ste 307, Glenview, Illinois |
| Phone Number | 8476268722 |
| Fax Number | 8473169502 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588854848 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2023-01-13 |
Provider Mailing Address Detail
| Address | 3633 W Lake Ave Ste 307 |
|---|---|
| City | Glenview |
| State | Illinois (IL) |
| Post Code | 600265803 |
| Phone Number | 8476268722 |
| Fax Number | 8473169502 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 36135325 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125052607 | IL | 125052607 | |
| 36135325 | IL | -- |
Post Comment/ Review Below
What is the Konstantins Kociasvili's unique identification number?
The Konstantins Kociasvili has been assigned the NPI (National Provider Identifier) Number 1588854848 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Konstantins Kociasvili's facilities are situated?
The facilities of Konstantins Kociasvili are physically located at the following address: 3633 W Lake Ave Ste 307, Glenview, IL, 600265803.
What is Konstantins Kociasvili's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Konstantins Kociasvili is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.
On what date did the Konstantins Kociasvili receive its 1588854848 assignment from the Centers for Medicare & Medicaid Services?
The Konstantins Kociasvili was assigned its 1588854848 by the Centers for Medicare & Medicaid Services on 2007-08-01.
When was the Konstantins Kociasvili's information last updated?
The Konstantins Kociasvili's information was last updated on 2023-01-13.