Florence, Kathleen W

Florence, Kathleen W is an individual health care provider with primary practice located at 4400 W 95Th St Ste 306 , Oak Lawn IL 60453-2659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Florence, Kathleen W can be contacted via phone (708) 684-5428.

Contact Information

Primary practice address
4400 W 95Th St Ste 306 Oak Lawn IL 60453-2659
Phone: (708) 684-5428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036101634 Illinois

Profile Details

NPI number 1477549889
LBN Legal business name Florence, Kathleen W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Feb 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477549889 NPPES
Illinois Other 01621490 BCBS PROVIDER ID
Illinois Other 250011628 BCBS PROVIDER ID
Illinois Other 47626 BCBS PROVIDER ID
Illinois MEDICAID 036101634 BCBS PROVIDER ID
Illinois Other 36354817310 BCBS PROVIDER ID

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