Healthcare Provider Details

I. General information

NPI: 1932542602
Provider Name (Legal Business Name): KOMAL D. KOYA D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W CHESTNUT ST STE 205
HINSDALE IL
60521-3700
US

IV. Provider business mailing address

333 W CHESTNUT ST STE 205
HINSDALE IL
60521-3700
US

V. Phone/Fax

Practice location:
  • Phone: 630-654-3376
  • Fax:
Mailing address:
  • Phone: 630-654-3376
  • Fax: 630-655-3872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.063964
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036139072
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: