Individual
KATIA V ILIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 GORE RD, MORRIS, IL 60450-9466
(815) 364-8919
(815) 942-4913
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-096083
IL
207Q00000X
Family Medicine Physician
Primary
036-096083
IL
2083X0100X
Occupational Medicine Physician
036-096083
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036096083
BLUE SHIELD
IL
01
—
K34497
MEDICARE
IL
Enumeration date
09/20/2006
Last updated
02/08/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us