Dorgan, Kathleen

Dorgan, Kathleen is an individual health care provider with primary practice located at 1 Erie Ct Suite4120, Oak Park IL 60302-2566. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Dorgan, Kathleen can be contacted via phone (708) 524-4576.

Contact Information

Primary practice address
1 Erie Ct Suite4120 Oak Park IL 60302-2566
Fax: (708) 524-5073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Illinois

Profile Details

NPI number 1750383527
LBN Legal business name Dorgan, Kathleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jan 28th, 2008 - about 16 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 1750383527 NPPES
Illinois Other 1616108 BCBS

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