| Doctor Name: | KATHLEEN L KRETCHMER |
| NPI Number: | 1053753582 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., C.D.E |
| License Number: | 041304879 |
| Business Practice Address: | 360 Station Dr Crystal Lake, IL - 600147978 |
| Business Phone Number: | 8153386600 |
| Business Fax Number: | 8153562388 |
| Mailing Address: | 360 Station Dr, CRYSTAL LAKE |
| State: | IL |
| Postal Code: | 600147978 |
| Phone Number: | 8153386600 |
| Fax Number: | 8153562388 |
| NPI Enumeration Date: | 07/25/2013 |
| NPI Last Update Date: | 07/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 041304879 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |