Individual
KATHLEEN ANN LINDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
137 E COLLEGE ST, KEWANEE, IL 61443-3703
(309) 852-4331
Mailing address
12 SW 4TH ST, GALVA, IL 61434-1741
(309) 932-2185
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043-072825
IL
171M00000X
Case Manager/Care Coordinator
043-072825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043-072825
DPR LICENSE
IL
01
—
370984175
BWAY INC FEIN
IL
Enumeration date
04/11/2007
Last updated
04/14/2009
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