Individual
MISS KAREN N WHITEHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19550 S GOVERNORS HWY, STE 2000, FLOSSMOOR, IL 60422-2136
(708) 957-8750
(708) 957-8602
Mailing address
27702 NETWORK PL, CHICAGO, IL 60673-1277
(708) 862-7674
(708) 862-1781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036115711
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115711
—
IL
01
—
F400437354
MEDICARE
IL
01
—
P01952892
RRM
IL
Enumeration date
07/07/2006
Last updated
12/19/2018
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