Krisiti Kozlov

LBN: Krisiti Kozlov
Krisiti Kozlov is an health care organization with primary practice located at 3100 Ogden Ave , Lisle IL 60532-1603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Krisiti Kozlov can be contacted via phone (630) 527-1920, or through Kozlov, Kristi via phone (312) 771-2007.

Contact Information

Primary practice address
3100 Ogden Ave Lisle IL 60532-1603
Phone: (630) 527-1920
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kozlov, Kristi Doctor of Medicine (MD)
Phone: (312) 771-2007

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Illinois

Profile Details

NPI number 1164586160
LBN Legal business name Krisiti Kozlov
DBA Doing business as
Authorized official Kozlov, Kristi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164586160 NPPES
Indiana Other 02233058 BLUE CROSS BLUE SHIELD

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