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Individual

KATHLEEN D CAPRIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
612 ROXBURY RD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Mailing address
612 ROXBURY RD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041258611
IL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
209003505
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1616108
BCBS
IL
01
P00605030
RAILROAD MEDICARE
IL
Enumeration date
10/12/2005
Last updated
04/22/2011
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