Kathy Booziotis

NPI 1861901647 · on the registry since 2017 · sole proprietor

Practice

Address: 4033 S Illinois Ave
Carbondale, IL 62903
Phone: (618) 529-4151
Fax: (618) 529-4154
Organisation at this address: Unity Point School
Unity Point School Admin
Unity Point Cc School Dist 140
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois