Liston, Kathleen S.

Liston, Kathleen S. is an sole proprietor health care provider with primary practice located at 775 Waukegan Rd Suite 200, Deerfield IL 60015-4342. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Liston, Kathleen S. can be contacted via phone (847) 267-8200.

Contact Information

Primary practice address
775 Waukegan Rd Suite 200 Deerfield IL 60015-4342
Fax: (847) 267-9440
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A.00793 Ohio

Profile Details

NPI number 1942359153
LBN Legal business name Liston, Kathleen S.
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated May 9th, 2008 - about 16 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 1942359153 NPPES
Ohio Other 000000543958 ANTHEM BCBS
Ohio MEDICAID 2710794 ANTHEM BCBS
Ohio Other 000000513135 ANTHEM BCBS

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