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Individual

MRS. KATHERINE ANN EKSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2861 N CLARK ST, CHICAGO, IL 60657-5207
(312) 744-5507
(312) 744-2573
Mailing address
5016 N MONTICELLO AVE, CHICAGO, IL 60625-5522
(312) 744-5507
(312) 744-2573

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
IL

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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