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NPI Code Detail

MEDICARE: MRS. KATHERINE VEENENDAAL CNP

MEDICARE: MRS. KATHERINE VEENENDAAL CNP
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 Practitioner041326737IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1041326737OTHERILLICENSE

General Provider Information

NPI Number : 1477632172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE VEENENDAAL CNP
Provider Business Mailing Address
First Line : 856 E CARPENTER DR
Second Line :
City : PALATINE
State : IL
Zip : 60074-7195
Country : US
Telephone Number : 847-370-7811
Fax Number :
Provider Business Practice Location Address
First Line : 111 W JACKSON BLVD STE 1700
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3597
Country : US
Telephone Number : 847-370-7811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 04/25/2025

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