Kathleen M. Salse, MSN, APRN, FNP-BC
Individual provider Active NPI Family Medicine Physician · Highwood, IL
NPI 1629832811 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1629832811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 209.028160 (IL)
- Practice address
- 130 Washington Ave
Highwood, IL 60040-1122 - Phone
- (847) 909-2004
- NPI assigned
- Feb 8, 2024
- 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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.252176 | IL | MD | Registered Nurse |
| 209.028160 | IL | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 209.028160 | IL | Yes |
| Registered Nurse | 163W00000X | 041.252176 | IL |
Addresses
Primary practice location
130 Washington Ave
Highwood, IL 60040-1122
Mailing address
130 Washington Ave
Highwood, IL 60040-1122
Phone (847) 909-2004
Other providers in Highwood, IL
- David Richards
- Carolina Rodriguez
- Regina Gibbs Rosenstein
- Farzad Saed
- Tamara Salamon
- Ismael Gerald Salvador
- Domingo A. Sandoval
- Michelle Smekens
- Gladis Soriano
- John Statza
All providers in Highwood, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. 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.