Kretchmer, Kathleen L

Kretchmer, Kathleen L is an individual health care provider with primary practice located at 360 Station Dr , Crystal Lake IL 60014-7978. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Kretchmer, Kathleen L can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
360 Station Dr Crystal Lake IL 60014-7978
Fax: (815) 356-2388
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 041304879 Illinois

Profile Details

NPI number 1053753582
LBN Legal business name Kretchmer, Kathleen L
Credentials R.N., C.D.E
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2013
Last updated Jul 25th, 2013 - about 11 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 1053753582 NPPES
Illinois Other 962341 MEDICARE PTAN

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