Healthcare Provider Details

I. General information

NPI: 1881076917
Provider Name (Legal Business Name): KATHLEEN GARCIA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 S KOSTNER AVE HEARTLAND CARE PARTNERS
OAK LAWN IL
60453-2697
US

IV. Provider business mailing address

333 N SUMMIT ST FL 7 HCR MANORCARE MEDICAL SERVICES OF FLORIDA, LLC
TOLEDO OH
43604-2615
US

V. Phone/Fax

Practice location:
  • Phone: 419-252-6018
  • Fax: 800-564-5952
Mailing address:
  • Phone: 419-252-6018
  • Fax: 800-564-5952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209012898
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209012898
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: