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NPI Code Detail

MEDICARE: PATRICIA C. KINAHAN MSN, FNP-BC

MEDICARE:   PATRICIA C. KINAHAN  MSN, FNP-BC
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 Practitioner209.007293IL

General Provider Information

NPI Number : 1780820985
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA C. KINAHAN MSN, FNP-BC
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 1601 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5411
Country : US
Telephone Number : 800-323-8622
Fax Number : 224-225-0403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2008
Last Update Date : 05/26/2022

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Directions to “ PATRICIA C. KINAHAN MSN, FNP-BC” Practice Location

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