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Individual

MS. KATHLEEN MARY FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN MS CCRN CCNS

Contact information

Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
3529 N OAKLEY AVE, CHICAGO, IL 60618-6023
(773) 868-6055

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
IL

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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