Individual
KATHRYN MCMANIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2265 N CLYBOURN AVE, CHICAGO, IL 60614-3052
(773) 296-6700
Mailing address
2265 N CLYBOURN AVE, CHICAGO, IL 60614-3052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016203
IL
363LF0000X
Family Nurse Practitioner
F1116099
IL
Other
Enumeration date
01/28/2017
Last updated
08/03/2017
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