Kathryn Anne Marie Provenzano in Cary - Professional
Kathryn Anne Marie Provenzano - NPI 1518064294
Kathryn Anne Marie Provenzano is a Professional in Cary, Illinois. Kathryn Anne Marie Provenzano practices all healthcare services and medical treatments related to Professional. The NPI Number for Kathryn Anne Marie Provenzano is 1518064294. The last update date is 2007-07-08.
Kathryn Anne Marie Provenzano's current location address is 1100 Cougar Trl, Cary, Illinois. You can contact this provider via phone number 8882912538 and fax number 8475162510. The mailing address for Kathryn Anne Marie Provenzano is 1100 Cougar Trl, Cary, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Anne Marie Provenzano |
|---|---|
| Address | 1100 Cougar Trl, Cary, Illinois |
| Phone Number | 8882912538 |
| Fax Number | 8475162510 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1518064294 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1100 Cougar Trl |
|---|---|
| City | Cary |
| State | Illinois (IL) |
| Post Code | 600136057 |
| Phone Number | 8882912538 |
| Fax Number | 8475162510 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the Kathryn Anne Marie Provenzano's 1518064294?
The Kathryn Anne Marie Provenzano's NPI (National Provider Identifier) Number is 1518064294. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kathryn Anne Marie Provenzano?
The Kathryn Anne Marie Provenzano is situated at 1100 Cougar Trl, in the city of Cary, state of IL, with the zip code 600136057.
What is Kathryn Anne Marie Provenzano's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathryn Anne Marie Provenzano is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518064294 to Kathryn Anne Marie Provenzano?
The Centers for Medicare & Medicaid Services assigned the 1518064294 to Kathryn Anne Marie Provenzano on 2006-09-17.
As of what date were the details related to Kathryn Anne Marie Provenzano most recently updated or revised?
The information pertaining to Kathryn Anne Marie Provenzano, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.