Individual
KATHRYN M ENDRESS
Active
Individual
KATHRYN M ENDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-011751
IL
363LF0000X
Family Nurse Practitioner
Primary
F06141327
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-011751
IL LICENSE
IL
01
—
309-007528
IL CONTROLLED SUBSTANCE LICENSE
IL
Enumeration date
08/27/2014
Last updated
02/05/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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