Individual
KATELYN LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-BC
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-7490
Mailing address
125 N LA GRANGE RD, LA GRANGE, IL 60525-2041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041388809
IL
363LF0000X
Family Nurse Practitioner
Primary
209016756
IL
Other
Enumeration date
12/07/2017
Last updated
09/13/2022
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