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NPI Code Detail

MEDICARE: KRISTINE ASUNCION NP

MEDICARE:   KRISTINE  ASUNCION  NP
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
1363LF0000XFamily Nurse Practitioner209016997IL

General Provider Information

NPI Number : 1306332697
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE ASUNCION NP
Provider Business Mailing Address
First Line : 901 MCCLINTOCK DR STE 202
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-0872
Country : US
Telephone Number : 888-220-6432
Fax Number : 630-654-4201
Provider Business Practice Location Address
First Line : 13755 CICERO AVE
Second Line :
City : CRESTWOOD
State : IL
Zip : 60418-1824
Country : US
Telephone Number : 708-385-2400
Fax Number : 708-385-8130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2018
Last Update Date : 07/10/2018

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