Individual
MRS. KATIE L MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
836 W WELLINGTON AVE, 4813CC, CHICAGO, IL 60657-5147
(773) 296-3036
Mailing address
1725 W HARRISON ST, CHICAGO, IL 60612-3841
(312) 942-5566
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209010897
IL
Other
Enumeration date
01/29/2014
Last updated
07/23/2020
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