Koss, Robert G.

Koss, Robert G. is an sole proprietor health care provider with primary practice located at 1875 Dempster St Suite 465, Park Ridge IL 60068-1186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Koss, Robert G. can be contacted via phone (847) 825-1100.

Contact Information

Primary practice address
1875 Dempster St Suite 465 Park Ridge IL 60068-1186
Phone: (847) 825-1100
Fax: (847) 825-0994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036.071750 Illinois

Profile Details

NPI number 1821078759
LBN Legal business name Koss, Robert G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Dec 5th, 2019 - about 7 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 1821078759 NPPES
Illinois MEDICAID 036071750

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