Venetos, Katina C

Venetos, Katina C is an individual health care provider with primary practice located at 800 N Westmoreland Rd Suite 100C, Lake Forest IL 60045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Venetos, Katina C can be contacted via phone (847) 234-1177.

Contact Information

Primary practice address
800 N Westmoreland Rd Suite 100C Lake Forest IL 60045
Phone: (847) 234-1177
Fax: (847) 234-1875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Illinois

Profile Details

NPI number 1336256437
LBN Legal business name Venetos, Katina C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Nov 7th, 2007 - about 18 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 1336256437 NPPES
Illinois Other 01608107 BLUE CROSS BLUE SHIELD

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