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NPI Code Detail

MEDICARE: DR. KRISTIN A WERNER DC

MEDICARE:  DR. KRISTIN A WERNER  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038008488IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11630133OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1457406373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN A WERNER DC
Provider Business Mailing Address
First Line : 5316 B N MILWAUKEE AVENUE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-1266
Country : US
Telephone Number : 773-774-1041
Fax Number : 773-774-8541
Provider Business Practice Location Address
First Line : 5316 B N MILWAUKEE AVENUE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-1266
Country : US
Telephone Number : 773-774-1041
Fax Number : 773-774-8541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 06/24/2008

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Directions to “ DR. KRISTIN A WERNER DC” Practice Location

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