Doctor Name: | SHARON MARIE KOYS |
NPI Number: | 1063506798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 085-002668 |
Business Practice Address: | 7055 High Grove Blvd Suite 100 Burr Ridge, IL - 605277593 |
Business Phone Number: | 6303719980 |
Business Fax Number: | |
Mailing Address: | 7055 High Grove Blvd, Suite 100 BURR RIDGE |
State: | IL |
Postal Code: | 605277593 |
Phone Number: | 6303719980 |
Fax Number: | 6303719983 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 05/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 085-002668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |