Individual
MARC KATCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036078282
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360782822
—
IL
01
—
061658
HEALTH ALLIANCE
IL
01
—
130022365
RAILROAD MEDICARE
IL
01
—
472298
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01H4
JOHN DEERE
IL
Enumeration date
07/31/2006
Last updated
12/18/2012
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