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MISS DIANA SOPHIA KOLETTIS M.D. NPI 1285977678


NPI Information

NPI: 1285977678
Provider Name: MISS DIANA SOPHIA KOLETTIS, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: ADVOCATE HEALTH AND HOSPITALS CORPORATION

PECOS Registration: Yes

Address:
1875 DEMPSTER ST
PARK RIDGE, IL
ZIP 60068
Phone: (847) 723-8610
Get Directions

MISS Diana Sophia Kolettis, M.D. is an obstetrics gynecology in Park Ridge, IL with 11 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MISS Diana Sophia Kolettis, M.D. NPI is 1285977678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1875 DEMPSTER ST
PARK RIDGE, IL
ZIP 60068-186
Phone: (847) 723-8610

The NPI 1285977678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2013 and was last updated on 12/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207V00000XObstetrics & Gynecology272020MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.