Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife |
NPI | 1134898729 |
---|---|
Provider Name | Katherine Mary Suhling |
First Address | Gurnee, IL 60031-3475 |
Second Address | Gurnee, IL 60031-3475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2021 |
Last Update Date | 16/11/2021 |