Individual
KATHLEEN ERIN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 COMMERCE DR STE 150, OAK BROOK, IL 60523-9912
(815) 322-9300
Mailing address
814 COMMERCE DR STE 150, OAK BROOK, IL 60523-9912
(815) 322-9300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041373468
IL
163W00000X
Registered Nurse
RN189146
AZ
363LF0000X
Family Nurse Practitioner
Primary
209031697
IL
363LF0000X
Family Nurse Practitioner
322473
AZ
Other
Enumeration date
01/29/2025
Last updated
04/26/2026
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