Individual
MRS. KATHY KLESZCZ
Active
Individual
MRS. KATHY KLESZCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209-012333
IL
363LF0000X
Family Nurse Practitioner
Primary
277-001084
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-365431
STATE LICENSE
IL
Enumeration date
10/29/2014
Last updated
02/10/2025
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