Phelan, Karen

Phelan, Karen is an individual health care provider with primary practice located at 2780 Mcfarland Rd Pediatrics, Rockford IL 61107-6807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Phelan, Karen can be contacted via phone (815) 971-2000.

Contact Information

Primary practice address
2780 Mcfarland Rd Pediatrics Rockford IL 61107-6807
Phone: (815) 971-2000
Fax: (815) 637-0400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036070568 Illinois

Profile Details

NPI number 1801871017
LBN Legal business name Phelan, Karen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 6th, 2015 - about 9 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 1801871017 NPPES
Illinois MEDICAID 036070568
Illinois Other 036070568

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