MRS. KATIE MARIE EDWARDS-HUMPAL


Address: 225 W Washington 2floor, Chicago, IL 60606
Phone: 3129802254

MRS. KATIE MARIE EDWARDS-HUMPAL (NPI# 1255880555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255880555
Entity Type Individual
Full Name MRS. KATIE MARIE EDWARDS-HUMPAL
Credential CNP
Practice Address 225 W Washington 2floor
Chicago
IL 60606
Practice Telephone 3129802254
Practice Fax Number 3127509795
Mailing Telephone 3129802254
Mailing Fax Number 3127509795
Enumeration Date 2016-09-27
Last Update Date 2020-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209018546 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 225 W WASHINGTON 2FLOOR
City CHICAGO
State IL
Zip Code 60606

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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City CHICAGO
Zip Code 60606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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