MS. KATHLEEN PATRICIA MICKOW (FNP-BC) – Family Nurse Practitioner, NPI 1245533264
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. KATHLEEN PATRICIA MICKOW (FNP-BC)
205 SHEFFIELD LN
VERNON HILLS, IL 600612929
Phone: (630) 857-6014
Type: Mailing
1942 DEMPSTER ST
EVANSTON, IL 602021016
Phone: (847) 869-6315
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-05-06
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60061)
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