Provider Demographics
NPI:1689625899
Name:JUNKANS, CATHERINE (RN MS PNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:JUNKANS
Suffix:
Gender:F
Credentials:RN MS PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10743 W 159TH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467
Mailing Address - Country:US
Mailing Address - Phone:708-226-2323
Mailing Address - Fax:708-226-2329
Practice Address - Street 1:15300 WEST AVENUE
Practice Address - Street 2:SUITE 120S
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462
Practice Address - Country:US
Practice Address - Phone:708-226-2323
Practice Address - Fax:708-226-2329
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics