Individual
KATHLEEN CARLSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2000
Mailing address
1 W SUPERIOR ST, APT 2416, CHICAGO, IL 60654-8803
(314) 494-3863
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209012091
IL
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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