Dini, Kourosh
Dini, Kourosh is an sole proprietor health care provider with primary practice located at 1020 S Wabash Ave Apt 4G , Chicago IL 60605-2255. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Dini, Kourosh can be contacted via phone (312) 391-3171.Contact Information
Primary practice address
1020 S Wabash Ave Apt 4G
Chicago IL 60605-2255
Phone: (312) 391-3171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | Illinois | |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036107898 | Illinois |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 036107898 | Illinois |
Profile Details
| NPI number | 1346256245 |
|---|---|
| LBN Legal business name | Dini, Kourosh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Dec 3rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346256245 | NPPES |
| Illinois | MEDICAID | 036107898 | |
| Illinois | Other | 01635637 |
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