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Individual

RACHEL R KINNAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
260 E CONGRESS PKWY STE A, CRYSTAL LAKE, IL 60014-6235
(815) 477-0300
(815) 477-0301
Mailing address
260 E CONGRESS PKWY STE A, CRYSTAL LAKE, IL 60014-6235
(815) 477-0300
(815) 477-0301

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009804
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209009804
STATE LICENSE
IL
Enumeration date
10/17/2012
Last updated
07/14/2020
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