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Contact Information

DANA M KOTH, PA-C
2100 PFINGSTEN RD
GLENVIEW, IL60026-1301
 Phone: 847-657-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DANA M KOTH · (Female)

NPI Number 1275947962
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/20/2014
Last updated 03/23/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.005108
  • IL License # 085005108
Hospital affiliation(s)
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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