Individual provider · Type 1 NPI
Pamela Jean Kohlenberg, CNM
Obstetrics & Gynecology Nurse Practitioner · Chicago, IL
NPI number
1548330103
Active
Practice location
2875 W 19th St
Chicago, IL 60623-3501
Fax (773) 521-1776
Mailing address
244 Laurel Ct
Hobart, IN 46342-7510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 209003337 (IL) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1548330103
Pamela Jean Kohlenberg, CNM's National Provider Identifier is 1548330103, issued on Nov 9, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.