| Dr. Amir K. Koita D.d.s. & Associates Ltd. | |
|
1425 S. Neltnor Blvd. West Chicago IL 60185-4064 | |
| (630) 293-7227 | |
| (630) 293-7277 |
| Full Name | Dr. Amir K. Koita D.d.s. & Associates Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 1425 S. Neltnor Blvd., West Chicago, Illinois |
| Authorized Official Name and Position | Amir K. Koita (OWNER) |
| Authorized Official Contact | 6302937227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Amir K. Koita D.d.s. & Associates Ltd. 1425 S. Neltnor Blvd. West Chicago IL 60185-4064 Ph: (630) 293-7227 | Dr. Amir K. Koita D.d.s. & Associates Ltd. 1425 S. Neltnor Blvd. West Chicago IL 60185-4064 Ph: (630) 293-7227 |
| NPI Number | 1912273517 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 03/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912273517 | NPI | - | NPPES |
| 1002560 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019019496 (Illinois) | Primary |
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