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
Phone: (708) 524-4576
Fax: (708) 524-5073
Website:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1750383527 | NPPES |
| Illinois | Other | 1616108 | BCBS |
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