Anderson, Kathy Ann
Anderson, Kathy Ann is an individual health care provider with primary practice located at 2240 Gateway Dr , Sycamore IL 60178. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Anderson, Kathy Ann can be contacted via phone (815) 756-8571.Contact Information
Primary practice address
2240 Gateway Dr
Sycamore IL 60178
Phone: (815) 756-8571
Fax: (815) 756-1790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036071921 | Illinois |
Profile Details
| NPI number | 1124088455 |
|---|---|
| LBN Legal business name | Anderson, Kathy Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 27th, 2008 - about 16 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124088455 | NPPES |
| Illinois | MEDICAID | 036071921 | |
| Illinois | Other | L71596 |
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