Provider Demographics
NPI:1548470602
Name:MASINO, KAREN YVONNE (CNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:YVONNE
Last Name:MASINO
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:633 PERTH AVE
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-1230
Mailing Address - Country:US
Mailing Address - Phone:708-799-4589
Mailing Address - Fax:312-926-2978
Practice Address - Street 1:251 E HURON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2908
Practice Address - Country:US
Practice Address - Phone:312-926-8765
Practice Address - Fax:312-926-2978
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care