Individual
DR. PATRICIA J KARSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 E SUPERIOR ST, LYNN SAGE BREAST CENTER, 4TH FLOOR, CHICAGO, IL 60611-2914
(312) 472-0436
Mailing address
250 E SUPERIOR ST, LYNN SAGE BREAST CENTER, 4TH FLOOR, CHICAGO, IL 60611-2914
(312) 472-0436
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036122593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300077586
RR MEDICARE
AZ
05
—
389694
—
AZ
01
—
86080015085259A369
TRIWEST
AZ
01
—
86080015085260A040
TRIWEST
AZ
Enumeration date
11/29/2005
Last updated
10/28/2011
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