Provider Demographics
NPI:1730062357
Name:PEOPLES, KAREN (RN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 N BROADWAY ST FL 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5975
Mailing Address - Country:US
Mailing Address - Phone:773-784-1111
Mailing Address - Fax:
Practice Address - Street 1:4545 N BROADWAY ST FL 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5975
Practice Address - Country:US
Practice Address - Phone:773-784-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.265872163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)