Doctor Name: | KATE M REED |
NPI Number: | 1164798641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN, NNP-BC |
License Number: | 209.006459 |
Business Practice Address: | 25 Thorndale Ct South Elgin, IL - 601773202 |
Business Phone Number: | 7082884365 |
Business Fax Number: | 2245359441 |
Mailing Address: | 25 Thorndale Ct, SOUTH ELGIN |
State: | IL |
Postal Code: | 601773202 |
Phone Number: | 7082884365 |
Fax Number: | 2245359441 |
NPI Enumeration Date: | 03/28/2012 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | 209.006459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |