Provider Demographics
NPI:1326476433
Name:FIELDS, KAREN (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16260 LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-5201
Mailing Address - Country:US
Mailing Address - Phone:773-241-9300
Mailing Address - Fax:219-513-9446
Practice Address - Street 1:16456 DOBSON AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-2511
Practice Address - Country:US
Practice Address - Phone:773-241-9300
Practice Address - Fax:219-513-9446
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277000523363LF0000X, 363LP0808X
IN28196163A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily