Koita, Munira M
Koita, Munira M is an sole proprietor health care provider with primary practice located at 205 E Butterfield Rd , Elmhurst IL 60126. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Koita, Munira M can be contacted via phone (561) 809-9700.Contact Information
Primary practice address
205 E Butterfield Rd
Elmhurst IL 60126
Phone: (561) 809-9700
Fax: (248) 788-0462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301083813 | Michigan |
Profile Details
| NPI number | 1568453272 |
|---|---|
| LBN Legal business name | Koita, Munira M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 12th, 2016 - about 10 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 | 1568453272 | NPPES |
| Illinois | Other | F400307716 | FPN MEDICARE PTAN |
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