Individual
MRS. KARA MAUREEN SHAHRAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6810 N MCCORMICK BLVD, LINCOLNWOOD, IL 60712-2709
(847) 674-6900
(847) 329-4728
Mailing address
6810 N MCCORMICK BLVD, LINCOLNWOOD, IL 60712-2709
(847) 674-6900
(847) 329-4728
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019485
IL
363LF0000X
Family Nurse Practitioner
209.019485
IL
Other
Enumeration date
04/25/2020
Last updated
04/15/2022
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