Individual
KARA ANN VORMITTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9977 WOODS DR STE 100, SKOKIE, IL 60077-1057
(224) 364-2273
(847) 663-8290
Mailing address
9977 WOODS DR STE 100, SKOKIE, IL 60077-1057
(224) 364-2273
(847) 663-8290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036120293
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
036120293
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036120293
STATE LICENSE
IL
Enumeration date
08/12/2008
Last updated
06/28/2023
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