Individual
BETH A KALNINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6000
Mailing address
421 W EXCHANGE ST, FREEPORT, IL 61032-4030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036092348
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092348
—
IL
Enumeration date
02/06/2006
Last updated
10/23/2017
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