Raether, Kelly
Raether, Kelly is an individual health care provider with primary practice located at 1475 E Belvidere Rd Ste 1297 Northwestern Ophthalmology Department, Grayslake IL 60030-2026. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Raether, Kelly can be contacted via phone (847) 295-0001.Contact Information
Primary practice address
1475 E Belvidere Rd Ste 1297 Northwestern Ophthalmology Department
Grayslake IL 60030-2026
Phone: (847) 295-0001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-009772 | Illinois |
Profile Details
| NPI number | 1356413223 |
|---|---|
| LBN Legal business name | Raether, Kelly |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356413223 | NPPES |
| Other | 1578798989 | NPI |
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