MEDICARE: KERSTIN LITWIN APRN

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
1	364S00000X	Clinical Nurse Specialist	209017487	IL

General Provider Information

NPI Number	:	1225527641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERSTIN LITWIN APRN

Provider Business Mailing Address
First Line	:	2441 W IRVING PARK RD APT 2W
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-2495
Country	:	US
Telephone Number	:	773-216-0302
Fax Number	:

Provider Business Practice Location Address
First Line	:	5145 N CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3687
Country	:	US
Telephone Number	:	773-878-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2018
Last Update Date	:	05/02/2018

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