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Individual

MS. KATHERINE A WITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-1646
(708) 684-4068
Mailing address
7642 W 158TH CT, ORLAND PARK, IL 60462-5068
(708) 684-3029
(708) 684-4068

Taxonomy

Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
209.006655
IL

Other

Enumeration date
09/21/2007
Last updated
09/21/2007
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