SearchIllinois225XP0200X

Beth Kern

NPI 1659796969 · on the registry since 2014 · sole proprietor

Practice

Address
4302 W Shamrock Ln Apt 3g
Mchenry, IL 60050
Phone
(920) 366-5629

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-24

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