Individual
KATHERYN VENEZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1299 E OGDEN AVE, NAPERVILLE, IL 60563-1603
(866) 389-3272
Mailing address
9139 BROADWAY AVE, BROOKFIELD, IL 60513-1303
(708) 387-9982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209018149
ADVANCED PRACTICE NURSE PRACTITIONER
IL
Enumeration date
06/10/2019
Last updated
06/10/2021
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