Individual
MARIA ESPERANZA KABATAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 S 13TH ST, SUITE J, PEKIN, IL 61554-4936
(309) 353-0740
(309) 353-0629
Mailing address
600 S 13TH ST, SUITE J, PEKIN, IL 61554-4936
(309) 353-0740
(309) 353-0629
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09015685
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/21/2006
Last updated
03/24/2008
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