Individual
KATY LORRAINE DILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 933-6410
(847) 933-6411
Mailing address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 933-6410
(847) 933-6411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007516
IL
363A00000X
Physician Assistant
5601006040
MI
363AM0700X
Medical Physician Assistant
5601006040
MI
Other
Enumeration date
05/25/2011
Last updated
09/15/2020
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