Provider Demographics
NPI:1952647463
Name:SCHLEE, KATHRYN TIBBITS (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:TIBBITS
Last Name:SCHLEE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:M
Other - Last Name:TIBBITS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:3700 W 103RD ST
Mailing Address - Street 2:SAINT XAVIER UNIVERSITY HEALTH CENTER
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-3105
Mailing Address - Country:US
Mailing Address - Phone:773-298-3712
Mailing Address - Fax:773-298-3906
Practice Address - Street 1:3700 W 103RD ST
Practice Address - Street 2:SAINT XAVIER UNIVERSITY HEALTH CENTER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-3105
Practice Address - Country:US
Practice Address - Phone:773-298-3712
Practice Address - Fax:773-298-3906
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.008542363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily