MEDICARE: KRISTEN BITSKO

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1770429698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN BITSKO

Provider Business Mailing Address
First Line	:	805 N LA SALLE DR UNIT 1804
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-3257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	805 N LA SALLE DR UNIT 1804
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-3257
Country	:	US
Telephone Number	:	540-442-0393
Fax Number	:

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

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “ KRISTEN BITSKO ” Practice Location

Language	Start Address	Practice Location

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