Gustafson, Karen T.

Gustafson, Karen T. is an individual health care provider with primary practice located at 2202 Harlem Rd , Loves Park IL 61111-2754. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Gustafson, Karen T. can be contacted via phone (815) 877-4848.

Contact Information

Primary practice address
2202 Harlem Rd Loves Park IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 636-6125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2098004393 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041172766 Illinois

Profile Details

NPI number 1740394485
LBN Legal business name Gustafson, Karen T.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated May 10th, 2017 - about 7 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 1740394485 NPPES
Other 430075652 RAILROAD MEDICARE

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