Individual
DR. KATHERINE HERETIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7035 NORTH AVE, OAK PARK, IL 60302-1015
(708) 680-3800
(708) 777-4776
Mailing address
804 E WOODFIELD RD STE 300, SCHAUMBURG, IL 60173-4776
(847) 605-0030
(847) 637-0737
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036138161
IL
207UN0901X
Nuclear Cardiology Physician
036138161
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036138161
—
IL
Enumeration date
04/14/2008
Last updated
03/17/2018
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