Meade, Kathleen M

Meade, Kathleen M is an individual health care provider with primary practice located at 9951 Rock Cut Xing , Loves Park IL 61111-1999. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Meade, Kathleen M can be contacted via phone (815) 639-8500.

Contact Information

Primary practice address
9951 Rock Cut Xing Loves Park IL 61111-1999
Phone: (815) 639-8500
Fax: (815) 639-8501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-000929 Illinois

Profile Details

NPI number 1447223789
LBN Legal business name Meade, Kathleen M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jun 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447223789 NPPES
Illinois Other L81495 MEDICARE PRIOR 7/15/2007

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