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NPI Code Detail

MEDICARE: KRISTINA GRACE HOLLKAMP PA-C

MEDICARE: KRISTINA GRACE HOLLKAMP PA-C
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
1363A00000XPhysician Assistant085.008798IL

General Provider Information

NPI Number : 1134870686
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA GRACE HOLLKAMP PA-C
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 1200
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3068
Country : US
Telephone Number : 312-695-8182
Fax Number : 312-695-4303
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 1200
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3068
Country : US
Telephone Number : 312-695-8182
Fax Number : 312-695-4303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2022
Last Update Date : 04/06/2026

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Directions to “ KRISTINA GRACE HOLLKAMP PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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