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Mrs. Katie Marie Edwards-humpal, NP-C
Family Nurse Practitioner in Chicago, Illinois
NPI 1255880555

Katie Marie Edwards-humpal is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Katie Marie Edwards-humpal practices in Chicago, IL and has the professional credentials of NP-C. The NPI Number for Katie Marie Edwards-humpal is 1255880555 and holds a License No. 5014632 (Illinois).

The current practice location address for Katie Marie Edwards-humpal is 25 E Washington St Ste 1601, Chicago, IL and can be reached out via phone at 312-999-7809.

Location: 25 E Washington St Ste 1601, Chicago, IL, 60602-1882
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Provider Profile Details
NPI Number
1255880555
Provider Name
Katie Marie Edwards-humpal
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
25 E Washington St Ste 1601, Chicago, IL, 60602-1882
Phone Number
312-999-7809
Fax Number
Provider Enumeration Date
09/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.018546 01 IL IL LICENSE NUMBER
5014632 01 NC NC NP LICENSE
institution
Provider Business Practice Location Address Details
Address
25 E Washington St Ste 1601
City
State
Zip
60602-1882
Phone Number
312-999-7809
Fax Number
person
Provider Business Mailing Address Details
Address
25 E Washington St Ste 1601
City
State
Zip
60602-1882
Phone Number
312-999-7809
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.018546 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
5014632 (North Carolina)
Definition
Definition to come...
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