Individual
KATHERINE K KATSOYANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 DEMPSTER ST, SUITE 120, PARK RIDGE, IL 60068-1109
(847) 299-7888
(847) 299-7844
Mailing address
1600 DEMPSTER ST, SUITE 120, PARK RIDGE, IL 60068-1109
(847) 299-7888
(847) 299-7844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036096130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096130
—
IL
Enumeration date
08/20/2006
Last updated
12/18/2021
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