Individual
KATY ITURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
852 CARNOUSTIE CT, ELGIN, IL 60123-6846
(331) 642-4733
Mailing address
852 CARNOUSTIE CT, ELGIN, IL 60123-6846
(331) 642-4733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.394053
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.394053
STATE OF ILLINOIS
IL
Enumeration date
11/25/2014
Last updated
11/25/2014
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