Mccormick, Kathleen

Mccormick, Kathleen is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Mccormick, Kathleen can be contacted via phone (708) 327-3041.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 327-3041
Fax: (708) 327-3489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 018.001867 Illinois

Profile Details

NPI number 1104168442
LBN Legal business name Mccormick, Kathleen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2013
Last updated Jul 22nd, 2013 - about 13 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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