Individual
MCKENNA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1300 ARLINGTON HEIGHTS RD, STE 130, ITASCA, IL 60143
(847) 871-4540
(847) 871-4597
Mailing address
PO BOX 713260, CHICAGO, IL 60677
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209028730
IL
Other
Enumeration date
12/12/2023
Last updated
02/02/2024
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