Provider Demographics
NPI:1730433558
Name:VILORIA CATE, KAREN (IDC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:VILORIA CATE
Suffix:
Gender:F
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8521 PARADISE VALLEY RD
Mailing Address - Street 2:APT 230
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-5742
Mailing Address - Country:US
Mailing Address - Phone:847-708-0757
Mailing Address - Fax:
Practice Address - Street 1:8521 PARADISE VALLEY RD
Practice Address - Street 2:APT 230
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-5742
Practice Address - Country:US
Practice Address - Phone:847-708-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman