Most Relevant Information
Provider Data
| NPI Number: | 1003382813 |
| Provider Name: | KAREN L. CICIRALE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041.151782 |
Most Important Dates
| Enumeration Date: | 10/18/2018 |
| Last Updated: | 10/18/2018 |
Provider Practice Location
16609 BLACKFOOT DR
LOCKPORT
IL
604411501
Practice Location Phone/Fax
| Phone: | 7087054881 |
| Fax: | 8155884016 |
Provider Mailing Location
16609 BLACKFOOT DR
LOCKPORT
IL
604411501
Provider Mailing Phone/Fax
| Phone: | 7087054881 |
| Fax: | 8155884016 |