Individual
KATHLEEN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5250 OLD ORCHARD RD STE 300, SKOKIE, IL 60077-4462
(847) 920-0902
Mailing address
5250 OLD ORCHARD RD STE 300, SKOKIE, IL 60077-4462
(847) 920-0902
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209030431
IL
Other
Enumeration date
06/28/2024
Last updated
09/04/2024
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