Individual
DR. KATHRYN MARIA GHANAYEM KUBILIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3329 75TH ST, WOODRIDGE, IL 60517
(630) 646-6750
(630) 548-7654
Mailing address
3329 75TH ST, WOODRIDGE, IL 60517-8137
(630) 646-6750
(630) 548-7654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036155938
IL
Other
Enumeration date
05/15/2018
Last updated
12/08/2021
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