Individual
DR. KATHLEEN WREN PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-5904
Mailing address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-5904
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036121454
IL
207RX0202X
Medical Oncology Physician
036121454
IL
Other
Enumeration date
07/14/2008
Last updated
10/10/2025
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