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NPI Code Detail

MEDICARE: KRISTIN MARLENA PALMSIANO

MEDICARE: KRISTIN MARLENA PALMSIANO
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1265043269
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN MARLENA PALMSIANO
Provider Business Mailing Address
First Line : 4525 N OTTAWA AVE
Second Line :
City : NORRIDGE
State : IL
Zip : 60706-4516
Country : US
Telephone Number : 773-910-2395
Fax Number :
Provider Business Practice Location Address
First Line : 212 S MARION ST
Second Line :
City : OAK PARK
State : IL
Zip : 60302-3257
Country : US
Telephone Number : 312-415-5507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/12/2020

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Directions to “ KRISTIN MARLENA PALMSIANO ” Practice Location

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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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