Healthcare Provider Details

I. General information

NPI: 1174086599
Provider Name (Legal Business Name): KAREN A SENICA APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 DOTY RD
WOODSTOCK IL
60098-7509
US

IV. Provider business mailing address

5404 W ELM ST STE Q
MCHENRY IL
60050-4007
US

V. Phone/Fax

Practice location:
  • Phone: 815-334-5018
  • Fax: 815-334-3185
Mailing address:
  • Phone: 815-344-7951
  • Fax: 815-759-3807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number041428173
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209020276
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209020276
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: