Kovacic, Katherine L.

Kovacic, Katherine L. is an individual health care provider with primary practice located at 1000 N Westmoreland Rd , Lake Forest IL 60045-1658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kovacic, Katherine L. can be contacted via phone (847) 535-6793.

Contact Information

Primary practice address
1000 N Westmoreland Rd Lake Forest IL 60045-1658
Phone: (847) 535-6793
Fax: (847) 535-6867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002833 Illinois

Profile Details

NPI number 1538386149
LBN Legal business name Kovacic, Katherine L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Mar 13th, 2024 - about 6 months 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 1538386149 NPPES
Illinois MEDICAID 1538386149

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