KATE NIESEN

LAKE FOREST, IL
NPI1063036093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085009237)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-06-05
Last Update Date2023-01-05
Business Address
KATE NIESEN PA-C
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045-1658
Phone number: 847-582-2134
Mailing Address
KATE NIESEN PA-C
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045-1658
Phone number: 847-582-2134