Hiller-Kozubik, Therese Margaret

Hiller-Kozubik, Therese Margaret is an individual health care provider with primary practice located at 2007 95Th St , Naperville IL 60564-8459. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hiller-Kozubik, Therese Margaret can be contacted via phone (630) 646-6907.

Contact Information

Primary practice address
2007 95Th St Naperville IL 60564-8459
Phone: (630) 646-6907
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 209-002502 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.002502 Illinois

Profile Details

NPI number 1821195496
LBN Legal business name Hiller-Kozubik, Therese Margaret
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Oct 5th, 2012 - about 14 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 1821195496 NPPES
Illinois MEDICAID 202303957-60504-01

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