Individual
MS. CATHY JEANNE CHESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
8224 CALUMET AVE, MUNSTER, IN 46321-1704
(312) 513-2634
(219) 836-0527
Mailing address
811 W 15TH PL, # 506, CHICAGO, IL 60608-1505
(312) 513-2634
(219) 836-0527
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
071032
MO
363LP0200X
Pediatric Nurse Practitioner
209007223
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2679544977
—
IN
Enumeration date
01/27/2006
Last updated
03/02/2009
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