Individual
KONSTANTINS KOCIASVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 W LAKE AVE STE 307, GLENVIEW, IL 60026-5803
(847) 626-8722
(847) 316-9502
Mailing address
333 W DUNDEE RD, BUFFALO GROVE, IL 60089-3545
(847) 243-0355
(847) 243-0356
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036135325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036135325
—
IL
01
—
125052607
125052607
IL
Enumeration date
08/01/2007
Last updated
01/13/2023
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