Individual
KINGA PATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 N CENTRAL AVE STE C, CHICAGO, IL 60634-4420
(847) 636-0708
Mailing address
946 MAPLE LN, ELK GROVE VILLAGE, IL 60007-4537
(847) 636-0708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016506
IL
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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