Duque, Katrina S
Duque, Katrina S is an individual health care provider with primary practice located at 1740 W Taylor St # 3200W , Chicago IL 60612-7232. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Duque, Katrina S can be contacted via phone (312) 996-4020.Contact Information
Primary practice address
1740 W Taylor St # 3200W
Chicago IL 60612-7232
Phone: (312) 996-4020
Fax: (312) 996-4019
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 036099714 | Illinois |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036-099714 | Illinois |
Profile Details
NPI number | 1275532277 |
---|---|
LBN Legal business name | Duque, Katrina S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2005 |
Last updated | Jul 9th, 2021 - about 3 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 | 1275532277 | NPPES |
Illinois | MEDICAID | 036-099714-4 |
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