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
Phone: (847) 723-5313
Fax: (847) 723-2325
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104030659 | NPPES |
Wisconsin | MEDICAID | 1104030659 |
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