Andel, Kathleen Elizabeth

Andel, Kathleen Elizabeth is an individual health care provider with primary practice located at 1475 E Belvidere Rd , Grayslake IL 60030-2012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Andel, Kathleen Elizabeth can be contacted via phone (847) 582-2134.

Contact Information

Primary practice address
1475 E Belvidere Rd Grayslake IL 60030-2012
Phone: (847) 582-2134
Fax: (847) 535-7285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004295 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07666 Texas

Profile Details

NPI number 1831463231
LBN Legal business name Andel, Kathleen Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Jan 3rd, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831463231 NPPES
Texas Other 875N69 BCBS
Texas MEDICAID 293923301 BCBS

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