Grady, Kathleen

Grady, Kathleen is an individual health care provider with primary practice located at 680 N Lake Shore Dr Suite 1000, Chicago IL 60611-4546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Grady, Kathleen can be contacted via phone (312) 695-9797.

Contact Information

Primary practice address
680 N Lake Shore Dr Suite 1000 Chicago IL 60611-4546
Phone: (312) 695-9797
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X Illinois

Profile Details

NPI number 1548371230
LBN Legal business name Grady, Kathleen
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1548371230 NPPES
Illinois MEDICAID 295724467001

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