Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 209.013397 | IL |
NPI | 1003287293 |
---|---|
Provider Name | Katherine Cappitelli |
First Address | Chicago, IL 60637-1447 |
Second Address | Chicago, IL 60611-3330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2015 |
Last Update Date | 10/07/2019 |