Provider Demographics
NPI:1093111825
Name:KEMP, LAURA COLLEEN (CNM-FPA, WHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:COLLEEN
Last Name:KEMP
Suffix:
Gender:F
Credentials:CNM-FPA, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 ARGYLE AVE
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-1254
Mailing Address - Country:US
Mailing Address - Phone:708-475-7384
Mailing Address - Fax:
Practice Address - Street 1:16 N WABASH AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-592-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209012138367A00000X
IL277.002018367A00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife