Individual
PAMELA JEAN KOHLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1574
(773) 521-1776
Mailing address
244 LAUREL CT, HOBART, IN 46342-7510
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209003337
IL
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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