Provider Demographics
NPI:1306014782
Name:DELFS, KATHRYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:DELFS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 DAVIS ST STE 106
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4600
Mailing Address - Country:US
Mailing Address - Phone:847-328-2336
Mailing Address - Fax:
Practice Address - Street 1:500 DAVIS ST STE 106
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4600
Practice Address - Country:US
Practice Address - Phone:847-328-2336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019022273122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist