Individual
KATHLEEN RYAN LINEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
210 N HAMMES AVE, SUITE 205, JOLIET, IL 60435-6680
(815) 729-7790
Mailing address
210 N HAMMES AVE, SUITE 205, JOLIET, IL 60435-6680
(815) 729-7790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.012086
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209012086
IL
Other
Enumeration date
12/02/2014
Last updated
04/04/2024
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