Individual
KATHRYN OCCHIPINTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1770 IOWA AVE, RIVERSIDE, CA 92507-2430
(309) 231-3297
Mailing address
5212 N ROTHMERE DR, PEORIA, IL 61615-9302
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-099304
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007222342
BLUE CROSS BLUE SHIELD
IL
05
—
036099304-1
—
IL
01
—
055131
HEALTH ALLIANCE
IL
01
—
300097484
RAILROAD MEDICARE
IL
01
—
3446903
ACR
IL
01
—
370947902
TRICARE CHAMPUS
IL
01
—
405209
HEALTHLINK
IL
01
—
IL0100
JOHN DEERE
IL
Enumeration date
01/03/2006
Last updated
02/04/2015
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