NPI 1083018162

Mary Kulikowski, FNP

Practitioner Adult Care Home Facility Chicago, IL

Practice location

Address: 5547 N Ravenswood Ave, Chicago, IL 60640-1125
Phone: (773) 769-4313

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 041.107696 (IL)

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Registry record

NPI: 1083018162
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2014
Record last updated: 17 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.