Individual
KATHY CYLEEN DEFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2003 W FULTON ST STE 303, CHICAGO, IL 60612-2345
(312) 243-2223
Mailing address
2003 W FULTON ST STE 303, CHICAGO, IL 60612-2345
(630) 392-1166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.288569
IL
363LF0000X
Family Nurse Practitioner
Primary
209029757
IL
Other
Enumeration date
06/22/2015
Last updated
04/10/2025
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