Provider Demographics
NPI:1851185813
Name:VERSCHURE, KATHRYN EMILY
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:EMILY
Last Name:VERSCHURE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:EMILY
Other - Last Name:ARENSMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1730 N CLARK ST APT 1306
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4859
Mailing Address - Country:US
Mailing Address - Phone:410-952-5618
Mailing Address - Fax:
Practice Address - Street 1:1620 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3801
Practice Address - Country:US
Practice Address - Phone:410-952-5618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041491215163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse