Provider Demographics
NPI:1144920323
Name:GIESEKE, KATHERINE (WHNP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:GIESEKE
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 PLAINFIELD RD STE C
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7606
Mailing Address - Country:US
Mailing Address - Phone:630-601-1889
Mailing Address - Fax:
Practice Address - Street 1:545 PLAINFIELD RD STE C
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-7606
Practice Address - Country:US
Practice Address - Phone:630-601-1889
Practice Address - Fax:630-655-3270
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041395700163W00000X
ID209025503363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse