Lake, Katrina

Lake, Katrina is an sole proprietor health care provider with primary practice located at 20201 Crawford Ave , Olympia Fields IL 60461-1010. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Lake, Katrina can be contacted via phone (708) 679-2160.

Contact Information

Primary practice address
20201 Crawford Ave Olympia Fields IL 60461-1010
Phone: (708) 679-2160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036141229 Illinois

Profile Details

NPI number 1679866305
LBN Legal business name Lake, Katrina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2011
Last updated Oct 25th, 2021 - 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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