Individual
MRS. KATHLEEN ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10311 WILMETTE AVE, ALGONQUIN, IL 60102-1620
(847) 854-2456
Mailing address
10311 WILMETTE AVE, ALGONQUIN, IL 60102-1620
(847) 854-2456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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