Healthcare Provider Details

I. General information

NPI: 1235680521
Provider Name (Legal Business Name): ELIZABETH ANN KUHN APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2016
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 N MAIN ST STE 205
SANDWICH IL
60548-2587
US

IV. Provider business mailing address

1302 N MAIN ST STE 205
SANDWICH IL
60548-2587
US

V. Phone/Fax

Practice location:
  • Phone: 815-786-3664
  • Fax: 815-981-7286
Mailing address:
  • Phone: 815-786-3664
  • Fax: 815-981-7286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209015005
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277003412
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: