Individual provider · Type 1 NPI

Kathleen Patricia Mickow, FNP-BC

Family Nurse Practitioner · Evanston, IL

NPI number 1245533264 Active

Practice location

1942 Dempster St
Evanston, IL 60202-1016

Mailing address

205 Sheffield Ln
Vernon Hills, IL 60061-2929

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.008533 (IL)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

Other family nurse practitioner providers in Evanston

See all in Evanston →

About NPI 1245533264

Kathleen Patricia Mickow, FNP-BC's National Provider Identifier is 1245533264, issued on Dec 13, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Evanston, IL. The record was last updated on Oct 25, 2019.