Individual
MRS. RHONDA MARIE KALITOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
690 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014
(815) 455-2752
(815) 455-2789
Mailing address
690 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014-3605
(815) 455-2752
(815) 455-2789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209009385
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209009385
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209009385
STATE LICENSE
IL
Enumeration date
02/07/2012
Last updated
06/18/2018
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