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General NPI Number Information
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NPI Number | 1760284038
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Entity Type | Individual
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Provider Name | KHRYSTYNA KOSTRYBA APRN, FNP-BC, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 259 E ERIE ST STE 1450
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City | CHICAGO
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State | IL
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Zip | 60611-3947
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Country | US
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Telephone | 312-695-7746
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Fax | 312-926-6600
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Provider Business Mailing Address
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Address Line | 259 E ERIE ST STE 1450
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City | CHICAGO
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State | IL
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Zip | 60611-3947
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Country | US
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Telephone | 312-695-7746
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Fax | 312-926-6600
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.485301
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209032093
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License Number State | IL
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