Individual
KATHERINE DIANE ACCOMANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 BLACKHAWK AVE, MCHENRY, IL 60051-9326
(815) 385-1212
Mailing address
1115 BONESET DR, CRYSTAL LAKE, IL 60014-6977
(815) 356-1588
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43042836
IL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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