Individual
KATHLEEN PATRICIA MEDICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-0715
(708) 783-9100
Mailing address
3837 W 109TH ST, CHICAGO, IL 60655-3925
(773) 392-0593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017138
IL
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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