Individual provider · Type 1 NPI

Katherine Eydelman, NP

Nurse Practitioner · Chicago, IL

NPI number 1114390788 Active

Practice location

4318 S State St
Chicago, IL 60609-3701

Fax (773) 564-3501

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209018063 (IL)
Nurse Practitioner 363L00000XAPRN002070 (NV)

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 1114390788

Katherine Eydelman, NP's National Provider Identifier is 1114390788, issued on Nov 4, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 17, 2018.