Derosa, Katelyn Elizabeth

Derosa, Katelyn Elizabeth is an individual health care provider with primary practice located at 1875 Dempster St Ste 640 , Park Ridge IL 60068. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Derosa, Katelyn Elizabeth can be contacted via phone (847) 297-6380.

Contact Information

Primary practice address
1875 Dempster St Ste 640 Park Ridge IL 60068
Phone: (847) 297-6380
Fax: (847) 297-0589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.006570 Illinois

Profile Details

NPI number 1346732021
LBN Legal business name Derosa, Katelyn Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2018
Last updated Jul 5th, 2023 - about 3 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.

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