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NPI Code Detail

MEDICARE: KENDALL GINA CHRISTENSON RN

MEDICARE: KENDALL GINA CHRISTENSON RN
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
1163WC0200XCritical Care Medicine Registered Nurse041544053IL
2163WC0200XCritical Care Medicine Registered Nurse0001292881VA
3367500000XCertified Registered Nurse Anesthetist209033562IL

General Provider Information

NPI Number : 1750060398
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL GINA CHRISTENSON RN
Provider Business Mailing Address
First Line : 60 E MONROE ST UNIT 4506
Second Line :
City : CHICAGO
State : IL
Zip : 60603-2764
Country : US
Telephone Number : 703-606-4747
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 888-824-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2023
Last Update Date : 02/16/2026

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