Individual
DR. KATHLEEN A SALUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
260 E CONGRESS PKWY, CRYSTAL LAKE, IL 60014-6235
(815) 477-0300
(815) 477-0300
Mailing address
260 E CONGRESS PKWY, CRYSTAL LAKE, IL 60014-6235
(815) 477-0300
(815) 477-0300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-105787
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036105787
STATE LICENSSE
IL
05
—
036105787
—
IL
Enumeration date
06/05/2006
Last updated
10/22/2018
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