Healthcare Provider Details

I. General information

NPI: 1457337586
Provider Name (Legal Business Name): KRISTEN J VOGEL POSTULA M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 E PRATT DR
PALATINE IL
60074-7204
US

IV. Provider business mailing address

1106 E PRATT DR
PALATINE IL
60074-7204
US

V. Phone/Fax

Practice location:
  • Phone: 888-729-1206
  • Fax: 201-605-6582
Mailing address:
  • Phone: 888-729-1206
  • Fax: 201-605-6582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: