Individual
KAREN KINAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 21-100, CHICAGO, IL 60611-5975
(312) 695-4979
Mailing address
675 N SAINT CLAIR ST, SUITE 21-100, CHICAGO, IL 60611-5975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209004204
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209004204
IL LICENSE
IL
Enumeration date
10/20/2015
Last updated
06/01/2016
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