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Dr. Katrina Lake, MD
Obstetrics & Gynecology Physician in Olympia Fields, Illinois
NPI 1679866305

Katrina Lake is a Obstetrics & Gynecology Physician based in Chicago, IL. Katrina Lake practices in Olympia Fields, IL and has the professional credentials of MD. The NPI Number for Katrina Lake is 1679866305 and holds a License No. (Illinois).

The current practice location address for Katrina Lake is 20201 Crawford Ave, Olympia Fields, IL and can be reached out via phone at 708-679-2160.

Location: 20201 Crawford Ave, Olympia Fields, IL, 60678-1353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679866305
Provider Name
Katrina Lake
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20201 Crawford Ave, Olympia Fields, IL, 60678-1353
Phone Number
708-679-2160
Fax Number
Provider Enumeration Date
05/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20201 Crawford Ave
City
Olympia Fields
State
Illinois
Zip
60461-1010
Phone Number
708-679-2160
Fax Number
person
Provider Business Mailing Address Details
Address
20201 Crawford Ave
City
Olympia Fields
State
Illinois
Zip
60461-1010
Phone Number
708-679-2160
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036141229 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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