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NPI Code Detail

MEDICARE: KATHERINE DATO DNP

MEDICARE:   KATHERINE  DATO  DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209.019782IL

General Provider Information

NPI Number : 1992350722
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE DATO DNP
Provider Business Mailing Address
First Line : 4864 N ASHLAND AVE APT 2E
Second Line :
City : CHICAGO
State : IL
Zip : 60640-3446
Country : US
Telephone Number : 513-317-0095
Fax Number :
Provider Business Practice Location Address
First Line : 1321 S PAULINA ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1221
Country : US
Telephone Number : 773-534-7202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2019
Last Update Date : 08/08/2019

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Directions to “ KATHERINE DATO DNP” Practice Location

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