Individual
KATHERINE A DOVER-PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
661 W 138TH ST, RIVERDALE, IL 60827-1660
(219) 515-4810
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.021814
IL
Other
Enumeration date
10/05/2020
Last updated
12/21/2023
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