Provider Demographics
NPI:1699386607
Name:ESPINOSA, CATHERINE VERONICA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:VERONICA
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N LARRABEE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-1746
Mailing Address - Country:US
Mailing Address - Phone:312-470-8945
Mailing Address - Fax:
Practice Address - Street 1:1200 N LARRABEE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-1746
Practice Address - Country:US
Practice Address - Phone:312-470-8945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021589363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily