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Individual

ESHA KACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1500 N HALSTED ST FL 234, CHICAGO, IL 60642-2517
(516) 407-8558
Mailing address
7401 BLUE BEACH CV, AUSTIN, TX 78759-6424
(512) 632-7427

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.509746
IL
163W00000X
Registered Nurse
916707
TX
363L00000X
Nurse Practitioner
209.023336
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1035252
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.023336
IL

Other

Enumeration date
06/21/2021
Last updated
06/21/2021
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