Individual
KATHLEEN S PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 EMERSON ST, EVANSTON, IL 60208-4000
(847) 491-8100
Mailing address
1601 W CHASE AVE, CHICAGO, IL 60626-2507
(773) 743-5232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000562
IL
Other
Enumeration date
09/29/2006
Last updated
09/22/2021
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