Provider Demographics
NPI:1528565777
Name:KATHURE, CHRISTINE (APN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:KATHURE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 N 74TH CT
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-2632
Mailing Address - Country:US
Mailing Address - Phone:708-822-5858
Mailing Address - Fax:
Practice Address - Street 1:2345 N 74TH CT
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:IL
Practice Address - Zip Code:60707-2632
Practice Address - Country:US
Practice Address - Phone:708-822-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209016960363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily