Catalano, Kisti Marie
Catalano, Kisti Marie is an individual health care provider with primary practice located at 23 W Calendar Ave , La Grange IL 60525-2365. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Catalano, Kisti Marie can be contacted via phone (708) 352-0081.Contact Information
Primary practice address
23 W Calendar Ave
La Grange IL 60525-2365
Phone: (708) 352-0081
Fax: (708) 352-2408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036101261 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36101261 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-101261 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-101261 | Illinois |
Profile Details
| NPI number | 1710015664 |
|---|---|
| LBN Legal business name | Catalano, Kisti Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Mar 1st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710015664 | NPPES |
| Illinois | MEDICAID | 036101261 |
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