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Individual

MS. KATHLEEN ANN ULIVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
409 N US ROUTE 53, GARDNER, IL 60424
(815) 237-0413
(815) 237-0514
Mailing address
1570 PERIWINKLE DR, MORRIS, IL 60450-6840
(815) 405-7195

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010293
IL

Other

Enumeration date
03/22/2013
Last updated
03/30/2018
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