Kathleen Elizabeth Mcdonough MD

NPI 1700086709 - Family Medicine - 207Q00000X

NPI Details
NPI 1700086709
Gender Female
Enumeration Date 07/19/2007
Last Updated 10/30/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
5425 W LAKE ST
CHICAGO IL, 60644-2342, US
Phone (773) 378-3347
Fax (773) 378-4028
Business Location
5425 W LAKE ST
CHICAGO IL, 60644-2342, US
Phone (773) 378-3347
Fax (773) 378-4028
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 125051044
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According to our database, Kathleen Elizabeth Mcdonough MD NPI is 1700086709, taxonomy code is 207Q00000X and license number is 125051044, license state is located at Illinois. Kathleen Elizabeth Mcdonough MD physically located at 5425 W Lake St, Chicago IL, 60644-2342. NPI Number Kathleen Elizabeth Mcdonough MD has the Individual type.

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1700086709 NPI number is provided on an as is basis without warranty of any kind. 1700086709 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Elizabeth Mcdonough MD are for informational purposes only.