Salus, Kathleen A

Salus, Kathleen A is an individual health care provider with primary practice located at 260 E Congress Pkwy , Crystal Lake IL 60014-6235. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Salus, Kathleen A can be contacted via phone (815) 477-0300.

Contact Information

Primary practice address
260 E Congress Pkwy Crystal Lake IL 60014-6235
Fax: (815) 477-0300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-105787 Illinois

Profile Details

NPI number 1922047216
LBN Legal business name Salus, Kathleen A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 22nd, 2018 - about 8 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 1922047216 NPPES
Illinois Other 036105787 STATE LICENSSE
Illinois MEDICAID 036105787 STATE LICENSSE

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