| NPI Details | |
|---|---|
| NPI | 1053306365 |
| Gender | Female |
| Enumeration Date | 09/13/2005 |
| Last Updated | 03/11/2015 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 4709 GOLF RD STE 1250 SKOKIE IL, 60076-1238, US |
|
| Phone | (847) 676-5394 |
| Fax | (847) 679-7183 |
| Business Location | |
|---|---|
| 4709 GOLF RD STE 1250 SKOKIE IL, 60076-1238, US |
|
| Phone | (847) 676-5394 |
| Fax | (847) 679-7183 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208000000X |
| License State | Illinois |
| License Number | 036091880 |
| Remove 1053306365 NPI Number | |
According to our database, Katherine L Shepherd MD NPI is 1053306365, taxonomy code is 208000000X and license number is 036091880, license state is located at Illinois. Katherine L Shepherd MD physically located at 4709 Golf Rd Ste 1250, Skokie IL, 60076-1238. NPI Number Katherine L Shepherd MD has the Individual type.
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1053306365 NPI number is provided on an as is basis without warranty of any kind. 1053306365 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine L Shepherd MD are for informational purposes only.
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