Katz, Samuel R.
Katz, Samuel R. is an individual health care provider with primary practice located at 2050 Claire Ct , Glenview IL 60025-7635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Katz, Samuel R. can be contacted via phone (847) 467-7423.Contact Information
Primary practice address
2050 Claire Ct
Glenview IL 60025-7635
Phone: (847) 467-7423
Fax: (847) 556-1715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207VH0002X | 036-061925 | Illinois |
Profile Details
| NPI number | 1689627226 |
|---|---|
| LBN Legal business name | Katz, Samuel R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 23rd, 2012 - about 14 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 | 1689627226 | NPPES |
| Illinois | Other | 10650182 | CAQH |
| Illinois | MEDICAID | 036061925 | CAQH |
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