Kattah, Jorge

Kattah, Jorge is an individual health care provider with primary practice located at 200 E Pennsylvania Ave , Peoria IL 61603-3089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kattah, Jorge can be contacted via phone (309) 624-4000.

Contact Information

Primary practice address
200 E Pennsylvania Ave Peoria IL 61603-3089
Phone: (309) 624-4000
Fax: (309) 624-4010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-096882 Illinois

Profile Details

NPI number 1750489050
LBN Legal business name Kattah, Jorge
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 22nd, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750489050 NPPES
Illinois MEDICAID 036096882

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