Craig, Kathryn A.

Craig, Kathryn A. is an sole proprietor health care provider with primary practice located at 12935 Gregory St , Blue Island IL 60406-2428. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Craig, Kathryn A. can be contacted via phone (708) 587-2000.

Contact Information

Primary practice address
12935 Gregory St Blue Island IL 60406-2428
Phone: (708) 587-2000
Fax: (630) 941-4333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-098353 Illinois

Profile Details

NPI number 1235122854
LBN Legal business name Craig, Kathryn A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Jul 8th, 2007 - about 18 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 1235122854 NPPES
Illinois MEDICAID 036-098353

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