Provider Demographics
NPI:1619178324
Name:SWARTWOUT, KATHRYN DUNN (CNP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:DUNN
Last Name:SWARTWOUT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE
Mailing Address - Street 2:EVANSTON HOSPITAL
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-570-1206
Mailing Address - Fax:847-570-1248
Practice Address - Street 1:1600 DODGE AVE
Practice Address - Street 2:ROOM H-101
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3449
Practice Address - Country:US
Practice Address - Phone:847-424-7265
Practice Address - Fax:847-492-5809
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2013-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209001541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209-001541OtherIL STATE LIC