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NPI Code Detail

MEDICARE: KRISTEN HAWRYSZ

MEDICARE:   KRISTEN  HAWRYSZ
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1558104216
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN HAWRYSZ
Provider Business Mailing Address
First Line : 3353 S MORGAN ST UNIT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60608-6885
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8695 ARCHER AVE STE 12
Second Line :
City : WILLOW SPRINGS
State : IL
Zip : 60480-1294
Country : US
Telephone Number : 708-381-0897
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2024
Last Update Date : 06/18/2024

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Directions to “ KRISTEN HAWRYSZ ” Practice Location

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