Detwiler, Kathleen Elizabeth
Detwiler, Kathleen Elizabeth is an individual health care provider with primary practice located at 2160 S 1St Ave Luh North Entrance, Nuclear Medicine, Maywood IL 60153-3328. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Detwiler, Kathleen Elizabeth can be contacted via phone (708) 202-7000.Contact Information
Primary practice address
2160 S 1St Ave Luh North Entrance, Nuclear Medicine
Maywood IL 60153-3328
Phone: (708) 202-7000
Fax: (708) 216-6890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 125061472 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | XXXXXXXXXXXXXXXX | Illinois |
Profile Details
| NPI number | 1932465259 |
|---|---|
| LBN Legal business name | Detwiler, Kathleen Elizabeth |
| Credentials | PHD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2012 |
| Last updated | Jul 21st, 2020 - about 5 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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