Individual
KATLYN J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(844) 725-5238
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-018316
IL
Other
Enumeration date
10/08/2018
Last updated
04/20/2022
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