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NPI Code Detail

MEDICARE: KATHLEEN A SIGLE CFNP

MEDICARE: KATHLEEN A SIGLE CFNP
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
1363LF0000XFamily Nurse Practitioner209001965IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122710822OTHERANCC NUMBER
2041-200147OTHERILRN LICENSE

General Provider Information

NPI Number : 1316912561
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN A SIGLE CFNP
Provider Business Mailing Address
First Line : 101 E PLUMMER BLVD
Second Line :
City : CHATHAM
State : IL
Zip : 62629-8047
Country : US
Telephone Number : 217-483-3487
Fax Number : 217-483-8150
Provider Business Practice Location Address
First Line : 101 E PLUMMER BLVD
Second Line :
City : CHATHAM
State : IL
Zip : 62629-8047
Country : US
Telephone Number : 217-483-3487
Fax Number : 217-483-8150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 03/09/2012

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Directions to “ KATHLEEN A SIGLE CFNP” Practice Location

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