| Doctor Name: | KAREN JEAN KROOSWYK |
| NPI Number: | 1134477706 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP-ANP-BC |
| License Number: | 209.009544 |
| Business Practice Address: | 4749 Lincoln Mall Dr Suite #204 Matteson, IL - 604432348 |
| Business Phone Number: | 7084814200 |
| Business Fax Number: | 7084813302 |
| Mailing Address: | 4749 Lincoln Mall Dr., Suite #204 MATTESION |
| State: | IL |
| Postal Code: | 60443 |
| Phone Number: | 7084814200 |
| Fax Number: | 7084813302 |
| NPI Enumeration Date: | 08/29/2012 |
| NPI Last Update Date: | 09/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 209.009544 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |