Healthcare Provider Details

I. General information

NPI: 1407197346
Provider Name (Legal Business Name): KATHRYN LILLIAN TROJAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21202 OWENS RD STE 300
MOKENA IL
60448-2038
US

IV. Provider business mailing address

21202 OWENS RD STE 300
MOKENA IL
60448-2038
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-4550
  • Fax: 630-933-2200
Mailing address:
  • Phone: 630-933-4550
  • Fax: 630-933-2200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004338A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number71004338A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209022045
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: