Katerji, Basel

Katerji, Basel is an sole proprietor health care provider with primary practice located at 4444 Prescott Ave , Lyons IL 60534-1932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Katerji, Basel can be contacted via phone (872) 282-0400.

Contact Information

Primary practice address
4444 Prescott Ave Lyons IL 60534-1932
Fax: (872) 871-0005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036135416 Illinois

Profile Details

NPI number 1508152315
LBN Legal business name Katerji, Basel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2011
Last updated Nov 9th, 2022 - about 4 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 1508152315 NPPES
Illinois MEDICAID 036135416

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