Individual
KAREN S DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CNS
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209-001072
IL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
209-001072
IL
Other
Enumeration date
08/04/2006
Last updated
11/15/2012
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