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NPI Code Detail

MEDICARE: KATHLEEN J DRINAN DO

MEDICARE: KATHLEEN J DRINAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician036066784IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4060052681OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111688OTHERILADVOCATE HLTH PARTNERS ID
201623302OTHERILBCBS PROVIDER ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
536427783600OTHERILADVOCATE HLTH CENTERS ID

General Provider Information

NPI Number : 1164417135
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN J DRINAN DO
Provider Business Mailing Address
First Line : 14290 S LA GRANGE RD
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-2023
Country : US
Telephone Number : 773-702-9461
Fax Number : 773-834-7374
Provider Business Practice Location Address
First Line : 14290 S LA GRANGE RD
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-2023
Country : US
Telephone Number : 773-702-9461
Fax Number : 773-834-7374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 05/01/2023

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Directions to “ KATHLEEN J DRINAN DO” Practice Location

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