Shepherd, Katherine L

Shepherd, Katherine L is an individual health care provider with primary practice located at 4709 Golf Rd Ste 900 , Skokie IL 60076. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shepherd, Katherine L can be contacted via phone (847) 676-5394.

Contact Information

Primary practice address
4709 Golf Rd Ste 900 Skokie IL 60076
Fax: (847) 679-7183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036091880 Illinois

Profile Details

NPI number 1053306365
LBN Legal business name Shepherd, Katherine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Apr 26th, 2021 - about 5 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 1053306365 NPPES
Illinois MEDICAID 036091880

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