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Contact Information

COURTNEY L KENTALA, PA-C
9650 GROSS POINT RD STE 2900
SKOKIE, IL60076-5006
 Phone: 847-866-7846
 Fax: 847-383-2210
 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 COURTNEY L KENTALA · (Female)

NPI # 1811573264
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/23/2021
Last updated 03/19/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 085009038
Hospital affiliation(s) Not Available
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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