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NPI Code Detail

MEDICARE: KRISTIN MCCAFFREY

MEDICARE:   KRISTIN  MCCAFFREY
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
1246ZA2600XMedical Art Specialist/Technologist201802874IL

General Provider Information

NPI Number : 1023665973
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN MCCAFFREY
Provider Business Mailing Address
First Line : 327 SOUTH BLVD
Second Line :
City : OAK PARK
State : IL
Zip : 60302-2921
Country : US
Telephone Number : 773-407-1043
Fax Number :
Provider Business Practice Location Address
First Line : 327 SOUTH BLVD
Second Line :
City : OAK PARK
State : IL
Zip : 60302-2921
Country : US
Telephone Number : 773-407-1043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2019
Last Update Date : 08/23/2019

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Directions to “ KRISTIN MCCAFFREY ” Practice Location

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