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Individual

KATHLEEN ESCALONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
15300 WEST AVE STE 313, ORLAND PARK, IL 60462-4687
(708) 923-7878
(708) 923-7888
Mailing address
15300 WEST AVE STE 313, ORLAND PARK, IL 60462-4687
(708) 923-7878
(708) 923-7888

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018662
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209018662
IL

Other

Enumeration date
01/23/2019
Last updated
12/01/2021
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