Denev, Konstantin I

Denev, Konstantin I is an individual health care provider with primary practice located at 415 N 9Th St Suite 4W16, Springfield IL 62702-5303. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Denev, Konstantin I can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
415 N 9Th St Suite 4W16 Springfield IL 62702-5303
Phone: (217) 545-8000
Fax: (217) 757-6654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME138814 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 036-110062 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036110062 Illinois

Profile Details

NPI number 1437131299
LBN Legal business name Denev, Konstantin I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 11th, 2023 - about 3 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 1437131299 NPPES
Illinois MEDICAID 036110062
Illinois MEDICAID 102858600

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