Individual
KATHERINE WALTER EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
580 WATERS EDGE STE 100, LOMBARD, IL 60148-6431
(331) 315-3498
Mailing address
580 WATERS EDGE STE 100, LOMBARD, IL 60148-6431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.031449
IL
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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