Claveria, Joanne Kristine

Claveria, Joanne Kristine is an individual health care provider with primary practice located at 1675 Dempster St , Park Ridge IL 60068-1110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Claveria, Joanne Kristine can be contacted via phone (847) 723-5313.

Contact Information

Primary practice address
1675 Dempster St Park Ridge IL 60068-1110
Fax: (847) 723-2325
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 52942-20 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 036.133125 Illinois

Profile Details

NPI number 1104030659
LBN Legal business name Claveria, Joanne Kristine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jun 13th, 2022 - about 2 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 1104030659 NPPES
Wisconsin MEDICAID 1104030659

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