Provider Demographics
NPI:1164798641
Name:REED, KATE M (APN, NNP-BC)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:M
Last Name:REED
Suffix:
Gender:F
Credentials:APN, NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 THORNDALE CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-3202
Mailing Address - Country:US
Mailing Address - Phone:708-288-4365
Mailing Address - Fax:224-535-9441
Practice Address - Street 1:25 THORNDALE CT
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-3202
Practice Address - Country:US
Practice Address - Phone:708-288-4365
Practice Address - Fax:224-535-9441
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.006459363LN0000X
IL277.002119363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal