Individual
MS. KATHRYN WIRTZ POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 E HURON ST, CHICAGO, IL 60611-3004
(312) 469-4513
(312) 469-4507
Mailing address
931 N RACINE AVE, CHICAGO, IL 60622-4127
(312) 469-4513
(312) 469-4507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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