Individual
KATHLEEN ELIZABETH POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
9338 S OAKLEY AVE, CHICAGO, IL 60620-6228
(773) 429-1823
(773) 429-1841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85001530
IL
Other
Enumeration date
08/04/2006
Last updated
04/28/2021
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