Churling, Kathryn

Churling, Kathryn is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Churling, Kathryn can be contacted via phone (618) 549-5361.

Contact Information

Primary practice address
2601 W Main St Carbondale IL 62901-1031
Fax: (618) 549-5128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036066511 Illinois

Profile Details

NPI number 1184737306
LBN Legal business name Churling, Kathryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 7th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184737306 NPPES
Illinois Other 324126 GHP
Illinois Other 027515 GHP
Illinois Other 3932056 GHP
Illinois MEDICAID 036066511 GHP
Illinois Other 7210895 GHP
Illinois Other 100223 GHP
Illinois Other 49328 GHP

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