Griffin, Karen

Griffin, Karen is an individual health care provider with primary practice located at 2160 S First Ave Luh - North Ent., Rm. 7604, Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Griffin, Karen can be contacted via phone (708) 216-3306.

Contact Information

Primary practice address
2160 S First Ave Luh - North Ent., Rm. 7604 Maywood IL 60153
Fax: (708) 216-1259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 36069907 Illinois

Profile Details

NPI number 1801873773
LBN Legal business name Griffin, Karen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Apr 2nd, 2021 - about 4 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 1801873773 NPPES
Illinois MEDICAID 36069907

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