Individual
KAITLYN DANIELLE VESEVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, DNP
Contact information
Practice address
401 W LAKE ST, NORTHLAKE, IL 60164-2435
(630) 640-9460
Mailing address
1150 N LAKE SHORE DR APT 16B, CHICAGO, IL 60611-5229
(630) 640-9460
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
041497490
IL
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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