Provider Demographics
NPI:1366453797
Name:KATHLEEN J DRINAN DO LTD
Entity Type:Organization
Organization Name:KATHLEEN J DRINAN DO LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DRINAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-226-0506
Mailing Address - Street 1:16515 106TH CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-4545
Mailing Address - Country:US
Mailing Address - Phone:708-226-0506
Mailing Address - Fax:
Practice Address - Street 1:16515 106TH CT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-4545
Practice Address - Country:US
Practice Address - Phone:708-226-0506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01623302OtherBCBS PROVIDER ID
IL11688OtherADVOCATE HLTH PARTNERS ID
ILDG7819OtherRAILROAD MEDICARE
IL11688OtherADVOCATE HLTH PARTNERS ID
IL11688OtherADVOCATE HLTH PARTNERS ID
ILDG7819Medicare PIN