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:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1710151550 | NPPES |
| Illinois | MEDICAID | 036138161 |
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