Individual
DR. KISTI MARIE CATALANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23 W CALENDAR AVE, LA GRANGE, IL 60525-2365
(708) 352-0081
(708) 352-2408
Mailing address
23 W CALENDAR AVE, LA GRANGE, IL 60525-2365
(708) 352-0081
(708) 352-2408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-101261
IL
207R00000X
Internal Medicine Physician
036101261
IL
208000000X
Pediatrics Physician
036-101261
IL
208000000X
Pediatrics Physician
36101261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101261
—
IL
Enumeration date
03/01/2007
Last updated
03/01/2016
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