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Katrina R. Cordero

Family Medicine

Allopathic & Osteopathic Physicians

3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519

PECOS Enrollment

This provider is enrolled in PECOS as KATRINA CORDERO.

Based on the most recent information from CMS, provider Katrina R. Cordero is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1386747822
Provider Type
Individual
Full Name
Cordero, Katrina R.
Title
Mrs.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/7/2006
Last Updated
12/23/2019

Contact Information

Practice Location

3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519

(708) 406-3929

Unlisted Fax

Mailing Location

3 Erie Ct, Suite 1300, Oak Park, IL 60302-2519

(708) 406-3929

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036113310 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036113310	Description Medicaid	Issuer Unlisted Illinois

Katrina R. Cordero

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Curran, Joanna Marie

Arenson, Rebecca Lee

Luning, Paul S

Bielanski, Thomas Eugene

Bello Kottenstette, Jennifer R

Paek, Aeri

Chan, Pei Hsuan

West Suburban Medical Center

Blair, Kenneth Morris

Skallerud, William Kai