Healthcare Provider Details

I. General information

NPI: 1972996510
Provider Name (Legal Business Name): KATHRYN HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2015
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4747 W CERMAK RD
CICERO IL
60804-2508
US

IV. Provider business mailing address

4747 W CERMAK RD
CICERO IL
60804-2508
US

V. Phone/Fax

Practice location:
  • Phone: 312-966-2000
  • Fax: 312-355-5615
Mailing address:
  • Phone: 321-698-5878
  • Fax: 312-355-5615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 92727221
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209018211
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: