Individual
KATHLEEN DORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 ERIE CT, SUITE4120, OAK PARK, IL 60302-2566
(708) 524-4576
(708) 524-5073
Mailing address
855 MADISON ST, OAK PARK, IL 60302-4420
(708) 386-1000
(708) 386-2394
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616108
BCBS
IL
Enumeration date
08/11/2005
Last updated
01/28/2008
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