Healthcare Provider Details

I. General information

NPI: 1912026584
Provider Name (Legal Business Name): KAREN HAZEL WHITMAN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4437 S CICERO AVE
CHICAGO IL
60632-4333
US

IV. Provider business mailing address

332 S MICHGAN AVE SUITE 1100
CHICAGO IL
60604
US

V. Phone/Fax

Practice location:
  • Phone: 312-758-1435
  • Fax:
Mailing address:
  • Phone: 800-660-4425
  • Fax: 423-714-2355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN203734
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209000988
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN19281
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20900088
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: