Individual
KATHRYN CLEMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
128336
IL
367500000X
Certified Registered Nurse Anesthetist
128366
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209021591
IL
Other
Enumeration date
06/30/2020
Last updated
04/05/2021
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