Provider Demographics
NPI:1609547769
Name:PHIPPS, KAREN FIONA (RN BSN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:FIONA
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18601 N CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-6397
Mailing Address - Country:US
Mailing Address - Phone:708-342-8100
Mailing Address - Fax:
Practice Address - Street 1:18601 N CREEK DR
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-6397
Practice Address - Country:US
Practice Address - Phone:708-342-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041301659163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse