Individual
NINA KODROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 ST FRANCIS WAY STE 200, LAFAYETTE, IN 47905-4940
(776) 775-2800
(765) 775-2831
Mailing address
2650 WARRENVILLE RD STE 280, DOWNERS GROVE, IL 60515-2075
(630) 324-7900
(630) 271-1813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003744A
IN
363AS0400X
Surgical Physician Assistant
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—
Other
Enumeration date
01/23/2020
Last updated
11/07/2023
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