Individual
CARA M STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PNP
Contact information
Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
Mailing address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
635555
NY
163WH0200X
Home Health Registered Nurse
635555
NY
208000000X
Pediatrics Physician
Primary
209.018506
IL
363LP0200X
Pediatric Nurse Practitioner
F382274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649546052
—
IL
Enumeration date
03/29/2012
Last updated
08/12/2021
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