Individual
DR. KATHERINE BLOSSFIELD IANNITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
Mailing address
PO BOX 3035, OAK PARK, IL 60303
(615) 496-6505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.118438
IL
Other
Enumeration date
06/24/2013
Last updated
08/31/2017
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