Katchen, Marc

Katchen, Marc is an individual health care provider with primary practice located at 765 N Kellogg St Suite 207, Galesburg IL 61401-2875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Katchen, Marc can be contacted via phone (309) 342-7002.

Contact Information

Primary practice address
765 N Kellogg St Suite 207 Galesburg IL 61401-2875
Phone: (309) 342-7002
Fax: (309) 342-3257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036078282 Illinois

Profile Details

NPI number 1447266564
LBN Legal business name Katchen, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 18th, 2012 - about 13 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 1447266564 NPPES
Illinois Other 7215059 BCBS PPO
Illinois MEDICAID 0360782822 BCBS PPO
Illinois Other 061658 BCBS PPO
Illinois Other 130022365 BCBS PPO
Illinois Other 472298 BCBS PPO
Illinois Other IL01H4 BCBS PPO

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