Provider Demographics
NPI:1588923361
Name:MCCARTHY, KATHLEEN T (MSN, RN, NP-C)
Entity type:Individual
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First Name:KATHLEEN
Middle Name:T
Last Name:MCCARTHY
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Gender:F
Credentials:MSN, RN, NP-C
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Mailing Address - Street 1:1340 S DAMEN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-1169
Mailing Address - Country:US
Mailing Address - Phone:773-292-4800
Mailing Address - Fax:773-489-2397
Practice Address - Street 1:1340 S DAMEN AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1169
Practice Address - Country:US
Practice Address - Phone:773-292-4800
Practice Address - Fax:773-489-2397
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2015-05-20
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Provider Licenses
StateLicense IDTaxonomies
IN71004136A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health