Katherine Diane Accomando
Individual provider Active NPI Licensed Practical Nurse · McHenry, IL
NPI 1154488039 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154488039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 43042836 (IL)
- Practice address
- 1219 Blackhawk Ave
McHenry, IL 60051-9326 - Phone
- (815) 385-1212
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43042836 | IL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 43042836 | IL | Yes |
Addresses
Primary practice location
1219 Blackhawk Ave
McHenry, IL 60051-9326
Mailing address
1115 Boneset Dr
Crystal Lake, IL 60014-6977
Phone (815) 356-1588
Other providers in McHenry, IL
- Stefani Lyn Abdai
- Ahmad Maher Labib Abdelkhalek
- Elias Abousaad
- Accelerated Rehabilitation Centers, LTD
- Kimberly D Ackert
- Nancy Gabriela Acosta
- Shenelle Acoy
- Anelyse Marie Acuna
- Acupuncture & Oriental Medicine
All providers in McHenry, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.