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Individual

KATHI CORRAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
9977 WOODS DR, SKOKIE, IL 60077
(224) 364-2273
Mailing address
9977 WOODS DR, SKOKIE, IL 60077-1057
(224) 364-2273

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041450376
IL
363L00000X
Nurse Practitioner
Primary
209015632
IL
363LF0000X
Family Nurse Practitioner
2002021540
MO
363LF0000X
Family Nurse Practitioner
46238
KS

Other

Enumeration date
08/29/2008
Last updated
05/21/2019
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