Herrejon, Katrina Louise

Herrejon, Katrina Louise is an individual health care provider with primary practice located at 9977 Woods Dr 1St Floor, Skokie IL 60077-1057. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Herrejon, Katrina Louise can be contacted via phone (847) 663-8540.

Contact Information

Primary practice address
9977 Woods Dr 1St Floor Skokie IL 60077-1057
Fax: (847) 663-1015
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 164-004790 Illinois

Profile Details

NPI number 1316128192
LBN Legal business name Herrejon, Katrina Louise
Credentials MS, RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated May 22nd, 2008 - about 17 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 1316128192 NPPES
Illinois Other 164-004790 IL STATE LIC

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