Individual
DR. KATHLEEN MARIE MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1012 95TH ST, NAPERVILLE, IL 60564-5041
(630) 548-1100
(630) 428-4211
Mailing address
1012 95TH ST, NAPERVILLE, IL 60564-5041
(630) 548-1100
(630) 428-4211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-116906
IL
208000000X
Pediatrics Physician
A65218
CA
Other
Enumeration date
01/10/2007
Last updated
02/03/2014
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