Individual provider · Type 1 NPI

Dana Marjorie Koth, PA-C

Surgical Physician Assistant · Glenview, IL

NPI number 1275947962 Active

Practice location

2100 Pfingsten Rd
Glenview, IL 60026-1301

Call (847) 657-5800 Map

Mailing address

2650 Ridge Ave Ste 1223, Suite 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085.005108 (IL)
Surgical Physician Assistant Primary 363AS0400X085005108 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1275947962

Dana Marjorie Koth, PA-C's National Provider Identifier is 1275947962, issued on Jun 20, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glenview, IL. The record was last updated on Mar 23, 2026.