Individual
KATRINA LEE BASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, EMT-P
Contact information
Practice address
11009 S SAINT LOUIS AVE, CHICAGO, IL 60655-3321
(773) 710-2569
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1614
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
000471490
IL
163W00000X
Registered Nurse
41.420072
IL
363LF0000X
Family Nurse Practitioner
Primary
209.025190
IL
Other
Enumeration date
08/25/2022
Last updated
04/07/2026
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