Individual
ANDREA KARKLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3726 W MCLEAN AVE, CHICAGO, IL 60647-3418
(773) 387-6516
Mailing address
3726 W MCLEAN AVE, CHICAGO, IL 60647-3418
(773) 387-6516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041391562
IL
207Q00000X
Family Medicine Physician
Primary
209017561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041391562
REGISTERED NURSE
IL
01
—
209017561
ADVANCED PRACTICE NURSE
IL
Enumeration date
08/29/2018
Last updated
08/29/2018
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