Individual
KATHLEEN F SCHLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNS
Contact information
Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 655-4184
(309) 624-8876
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 655-4184
(309) 624-8876
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209-009335
IL
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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