Healthcare Provider Details

I. General information

NPI: 1225365794
Provider Name (Legal Business Name): CAREN CORRIGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S WASHINGTON ST
NAPERVILLE IL
60540-7430
US

IV. Provider business mailing address

801 S WASHINGTON ST
NAPERVILLE IL
60540-7430
US

V. Phone/Fax

Practice location:
  • Phone: 630-646-9178
  • Fax: 630-646-6110
Mailing address:
  • Phone: 630-646-9178
  • Fax: 630-646-6110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209007860
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: