Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KONSTANTINS KOCIASVILI, M.D.
Active Sole ProprietorKONSTANTINS KOCIASVILI, M.D. is a Adolescent Medicine healthcare provider located in GLENVIEW, Illinois. NPI 1588854848 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · GLENVIEW, IL
Registration Details
- NPI Number
- 1588854848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2007 (18.849324801668 yrs)
- Last Updated
- Jan 13, 2023
- License
-
036135325 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3633 W LAKE AVE STE 307GLENVIEW, IL, 600265803Browse IL providers · Browse ZIP 60026
- Phone
- 8476268722
- Fax
- 8473169502
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in GLENVIEW, IL
| Name | Credential | NPI |
|---|---|---|
| JORY ALAN NATKIN | D.O. | 1306891676 |
| LINDA R BIGI | — | 1760421481 |
| MARTIN KOVACHEVICH | M.D. | 1003855719 |
| MATTHEW R HILL | MD | 1699353581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.