Provider Demographics
NPI:1093978033
Name:KATTEN, LYNN S (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:S
Last Name:KATTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LYNN
Other - Middle Name:S
Other - Last Name:ELLNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2050 CLAIRE CT
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-7635
Mailing Address - Country:US
Mailing Address - Phone:847-467-7423
Mailing Address - Fax:847-556-1715
Practice Address - Street 1:2050 CLAIRE CT
Practice Address - Street 2:MIDWEST PALLIATIVE & HOSPICE CARECENTER
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-7635
Practice Address - Country:US
Practice Address - Phone:847-467-7423
Practice Address - Fax:847-556-1715
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.100993207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036100993Medicaid
ILK53406Medicare PIN
ILK53407Medicare PIN