Individual
KATHERINE MATICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
3256 W 24TH ST, CHICAGO, IL 60623-3407
(872) 588-3540
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017926
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018013646
SPECIALTY BOARD
IL
01
—
209017926
STATE LICENSE
IL
01
—
309013184
CS LICENSE
IL
Enumeration date
08/10/2018
Last updated
03/07/2023
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