Katz, Samuel R.

Katz, Samuel R. is an individual health care provider with primary practice located at 2050 Claire Ct , Glenview IL 60025-7635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Katz, Samuel R. can be contacted via phone (847) 467-7423.

Contact Information

Primary practice address
2050 Claire Ct Glenview IL 60025-7635
Fax: (847) 556-1715
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207VH0002X 036-061925 Illinois

Profile Details

NPI number 1689627226
LBN Legal business name Katz, Samuel R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 23rd, 2012 - about 12 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 1689627226 NPPES
Illinois Other 10650182 CAQH
Illinois MEDICAID 036061925 CAQH

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