MEDICARE: KATHRYN ARKIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	209027480	IL

General Provider Information

NPI Number	:	1053185819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN ARKIN

Provider Business Mailing Address
First Line	:	1850 N CLARK ST APT 609
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-5336
Country	:	US
Telephone Number	:	301-875-7152
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-5450
Country	:	US
Telephone Number	:	773-697-8316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2023
Last Update Date	:	11/13/2023

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Directions to “ KATHRYN ARKIN ” Practice Location

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