Ilieva, Katia V
Ilieva, Katia V is an individual health care provider with primary practice located at 100 Gore Rd , Morris IL 60450-9466. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ilieva, Katia V can be contacted via phone (815) 364-8919.Contact Information
Primary practice address
100 Gore Rd
Morris IL 60450-9466
Phone: (815) 364-8919
Fax: (815) 942-4913
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-096083 | Illinois |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 036-096083 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-096083 | Illinois |
Profile Details
NPI number | 1821195603 |
---|---|
LBN Legal business name | Ilieva, Katia V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Feb 8th, 2022 - about 3 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 | 1821195603 | NPPES |
Illinois | Other | K34497 | MEDICARE |
Illinois | Other | 036096083 | MEDICARE |
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