Divincenzo, Cathy A
Divincenzo, Cathy A is an individual health care provider with primary practice located at 4709 Golf Rd Ste 900 , Skokie IL 60076. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Divincenzo, Cathy A can be contacted via phone (847) 676-5394.Contact Information
Primary practice address
4709 Golf Rd Ste 900
Skokie IL 60076
Phone: (847) 676-5394
Fax: (847) 679-7183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036099031 | Illinois |
Profile Details
| NPI number | 1407852817 |
|---|---|
| LBN Legal business name | Divincenzo, Cathy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jun 4th, 2024 - about 5 months 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 | 1407852817 | NPPES |
| Illinois | MEDICAID | 036099031 |
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