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Individual

KATHLEEN W FLORENCE

Active
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Individual

KATHLEEN W FLORENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036101634
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01621490
BCBS PROVIDER ID
IL
05
036101634
IL
01
250011628
RAILROAD MEDICARE
IL
01
36354817310
ADVOCATE HLTH CENTERS ID
IL
01
47626
ADVOCATE HLTH PARTNERS ID
IL
Enumeration date
09/21/2005
Last updated
02/21/2023
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