Individual
KARA SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 695-1920
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN279289
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
209009755
IL
Other
Enumeration date
07/02/2012
Last updated
07/28/2025
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