Individual
REEM R KAMETAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-399307
IL
363L00000X
Nurse Practitioner
Primary
209-017654
IL
363LA2100X
Acute Care Nurse Practitioner
209.017654
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-399307
LICENSE NUMBER
IL
01
—
209.017654
APN LICENSE NUMBER
IL
Enumeration date
06/11/2012
Last updated
09/12/2024
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