Fontana, Kate W.

Fontana, Kate W. is an individual health care provider with primary practice located at 800 Biesterfield Rd Ste G01 Wimmer Building, Elk Grove Village IL 60007-3372. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fontana, Kate W. can be contacted via phone (847) 981-3680.

Contact Information

Primary practice address
800 Biesterfield Rd Ste G01 Wimmer Building Elk Grove Village IL 60007-3372
Phone: (847) 981-3680
Fax: (847) 956-5122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085003615 Illinois

Profile Details

NPI number 1306172754
LBN Legal business name Fontana, Kate W.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2009
Last updated Jan 30th, 2013 - about 11 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 1306172754 NPPES
Illinois Other IL6305021 MEDICARE PIN-LOC 15
Illinois Other P01058191 MEDICARE PIN-LOC 15
Illinois Other IL6304021 MEDICARE PIN-LOC 15
Illinois Other 1720371669 MEDICARE PIN-LOC 15

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