Individual
KATHLEEN I PAPAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-3100
(815) 363-9044
Mailing address
1213 NORWOOD ST., EMERGENCY DEPARTMENT, MELROSE PARK, IL 60160
(312) 636-1903
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200500232
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
OS18744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036093024
STATE LICENSE
IL
01
—
13975
BLUE CROSS
NC
05
—
5901020
—
NC
01
—
P00205633
RAILROAD MEDICARE
NC
Enumeration date
05/17/2006
Last updated
05/09/2023
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