Doctor Name: | KAREN S DICKEN |
NPI Number: | 1063420230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN/CNS |
License Number: | 209-001072 |
Business Practice Address: | 1786 Moon Lake Blvd #104 Hoffman Estates, IL - 601695029 |
Business Phone Number: | 8477558090 |
Business Fax Number: | 8478437393 |
Mailing Address: | 1786 Moon Lake Blvd, Suite 104 HOFFMAN ESTATES |
State: | IL |
Postal Code: | 601695029 |
Phone Number: | 8477558090 |
Fax Number: | 8478437393 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 209-001072 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |