Heretis, Katherine

Heretis, Katherine is an sole proprietor health care provider with primary practice located at 7035 North Ave , Oak Park IL 60302-1015. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Heretis, Katherine can be contacted via phone (708) 680-3800.

Contact Information

Primary practice address
7035 North Ave Oak Park IL 60302-1015
Phone: (708) 680-3800
Fax: (708) 777-4776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 036138161 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036138161 Illinois

Profile Details

NPI number 1710151550
LBN Legal business name Heretis, Katherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2008
Last updated Mar 17th, 2018 - about 7 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 1710151550 NPPES
Illinois MEDICAID 036138161

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