Individual provider · Type 1 NPI

Kathleen Antolin

Student in an Organized Health Care Education/Training Program · Waukegan, IL

NPI number 1235509159 Active

Practice location

2025 Washington St
Waukegan, IL 60085-5131

Fax (847) 360-1020

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235509159

Kathleen Antolin's National Provider Identifier is 1235509159, issued on Oct 5, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waukegan, IL. The record was last updated on Oct 5, 2015.