Kathleen Mattingly, RN

NPI 1598437998 · on the registry since 2021 · sole proprietor

Practice

Address: 315 N La Grange Rd
La Grange Park, IL 60526
Phone: (708) 482-0340
Organisation at this address: Plymouth Place, Inc.
Plymouth Place Management Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 163WG0600X
163WG0600X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois