Individual
KATHERINE SOUHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-1919
(847) 381-0123
Mailing address
2421 OXFORD ST, ROCKFORD, IL 61103-4166
(630) 835-4013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018762
IL
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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