Individual
KATHLEEN VINIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7499
(630) 527-3000
Mailing address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209029868
IL
363LA2100X
Acute Care Nurse Practitioner
209.029868
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2024
Last updated
06/20/2024
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