Individual
MS. KATHRYN MARGARET MARIE INCZAUKSKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
400 S KENNEDY DR STE 700, BRADLEY, IL 60915-2639
(815) 935-7532
(815) 935-7495
Mailing address
375 N WALL ST, KANKAKEE, IL 60901-3483
(815) 933-2589
(815) 634-5253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020930
IL
Other
Enumeration date
03/31/2020
Last updated
11/16/2022
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