Fane, Katelin

Fane, Katelin is an individual health care provider with primary practice located at 1275 N. Covent Street Suite 3, Bourbonnais IL 60914-8210. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fane, Katelin can be contacted via phone (815) 936-1855.

Contact Information

Primary practice address
1275 N. Covent Street Suite 3 Bourbonnais IL 60914-8210
Phone: (815) 936-1855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 005883 Kentucky

Profile Details

NPI number 1922385731
LBN Legal business name Fane, Katelin
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2011
Last updated Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922385731 NPPES
Illinois Other P01061411 MEDICARE RAILROAD
Illinois Other 070018860 MEDICARE RAILROAD

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