Vander Ploeg Booth, Karin E

Vander Ploeg Booth, Karin E is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Vander Ploeg Booth, Karin E can be contacted via phone (888) 824-0200.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (888) 824-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 036111555 Illinois

Profile Details

NPI number 1194990705
LBN Legal business name Vander Ploeg Booth, Karin E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2008
Last updated Oct 24th, 2022 - 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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