Individual
KATHERINE FRANCES SABELLA RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PMHNP-BC
Contact information
Practice address
110 W CALENDAR AVE, LA GRANGE, IL 60525-2325
(708) 745-5277
Mailing address
110 W CALENDAR AVE, LA GRANGE, IL 60525-2325
(708) 745-5277
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.023739
IL
Other
Enumeration date
07/07/2020
Last updated
01/31/2022
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