Healthcare Provider Details

I. General information

NPI: 1548637580
Provider Name (Legal Business Name): KATHRYN HILOVSKY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2015
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 E ERIE ST FL 17
CHICAGO IL
60611-2987
US

IV. Provider business mailing address

259 E ERIE ST FL 17
CHICAGO IL
60611-2987
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-6000
  • Fax: 312-926-0516
Mailing address:
  • Phone: 312-926-6000
  • Fax: 312-926-0516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.397861
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.348185
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209013025
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209013025
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: