Individual
KATLEEN TIONGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
396 REMINGTON BLVD STE 140, BOLINGBROOK, IL 60440-4311
(630) 495-9356
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025188
IL
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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