Individual
KATHRYN HOUBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10929 S KENTON AVE, OAK LAWN, IL 60453-5609
(708) 860-5283
Mailing address
10929 S KENTON AVE, OAK LAWN, IL 60453-5609
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG11250049
IL
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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