Provider Demographics
NPI:1770002099
Name:HILLENBRAND, KATRINA (APN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:HILLENBRAND
Suffix:
Gender:F
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 PFINGSTEN RD.
Mailing Address - Street 2:KELLOGG CANCER CENTER
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1339
Mailing Address - Country:US
Mailing Address - Phone:847-570-2112
Mailing Address - Fax:847-503-1100
Practice Address - Street 1:2180 PFINGSTEN RD.
Practice Address - Street 2:KELLOGG CANCER CENTER
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1339
Practice Address - Country:US
Practice Address - Phone:847-570-2112
Practice Address - Fax:847-503-1100
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.015229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily