Individual provider · Type 1 NPI
Kathleen Masella, R.N., AGNP-C
Nurse Practitioner · Skokie, IL
Practice location
8930 Gross Point Rd Ste 700
Skokie, IL 60077-1864
Fax (773) 296-3800
Mailing address
1101 S State St Apt 603
Chicago, IL 60605-3178
Other practice locations
- 331 W Surf St Ste 807, Chicago, IL 60657-7227 · (773) 296-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209015111 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1043752918
Kathleen Masella, R.N., AGNP-C's National Provider Identifier is 1043752918, issued on Nov 9, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Skokie, IL. The record was last updated on Aug 11, 2026.