Individual
MARIA RHODORA KABATAY-LEE HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 S 13TH ST, SUITE I, PEKIN, IL 61554-4936
(309) 346-1102
(309) 347-2885
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036107438
IL
207Q00000X
Family Medicine Physician
2024015912
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107438
—
IL
01
—
09015685
BLUE CROSS BLUE SHIELD
IL
01
—
P000329021
RAIL ROAD MEDICARE
IL
Enumeration date
05/31/2006
Last updated
08/14/2024
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