Individual
CAROLYN KUBITSCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W BRIAR PL APT 703, CHICAGO, IL 60657-4628
(828) 230-5942
Mailing address
515 W BRIAR PL APT 703, CHICAGO, IL 60657-4628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041414394
IL
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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