Kathleen Maria Barak, APN
Nurse Practitioner in Chicago, IL. Individual provider (NPI-1).
NPI number1801322326
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1801322326
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Maria Barak
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2017
- Certification date
- Jun 29, 2026
- Last updated
- Jun 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209015205 | IL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209015205 | IL |
Practice location
5645 W Addison StChicago, IL 60634-4403
Phone 773-282-7000
Mailing address
5645 W Addison StChicago, IL 60634-4403
Phone 773-282-7000
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