Tabor, Karen Susanne

Tabor, Karen Susanne is an individual health care provider with primary practice located at 3001 Green Bay Rd , North Chicago IL 60064-3048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tabor, Karen Susanne can be contacted via phone (618) 997-5311.

Contact Information

Primary practice address
3001 Green Bay Rd North Chicago IL 60064-3048
Phone: (618) 997-5311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-002666 Illinois

Profile Details

NPI number 1033146527
LBN Legal business name Tabor, Karen Susanne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033146527 NPPES
Other 1002128 AAPA
Other 1055175 AAPA
Other 085-002666 AAPA

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