Lubben, Kathryn J

Lubben, Kathryn J is an sole proprietor health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lubben, Kathryn J can be contacted via phone (630) 933-2113.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Fax: (630) 933-4520
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209.003981 Illinois

Profile Details

NPI number 1558520692
LBN Legal business name Lubben, Kathryn J
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2008
Last updated Jul 21st, 2014 - 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 1558520692 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other F400150056 MEDICARE PTAN (GROUP)

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