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Individual

DR. CATHY CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, FNP-BC

Contact information

Practice address
406 S 5TH ST, KIRKLAND, IL 60146-7711
(815) 522-3301
Mailing address
406 S 5TH ST, KIRKLAND, IL 60146-7711
(815) 522-3301

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011914
IL

Other

Enumeration date
09/30/2014
Last updated
07/29/2022
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