Individual
KATHY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5517 N KENMORE AVE, CHICAGO, IL 60640-1515
(773) 275-7962
Mailing address
8839 S EGGLESTON AVE, CHICAGO, IL 60620-2117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041313172
IL
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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