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NPI Code Detail

MEDICARE: KRISTEN SZEWCZYK PNP-C

MEDICARE:   KRISTEN  SZEWCZYK  PNP-C
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
1208000000XPediatrics Physician209016017IL

General Provider Information

NPI Number : 1780192245
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN SZEWCZYK PNP-C
Provider Business Mailing Address
First Line : 705 W WRIGHTWOOD AVE APT 3E
Second Line :
City : CHICAGO
State : IL
Zip : 60614-8948
Country : US
Telephone Number : 415-516-3900
Fax Number :
Provider Business Practice Location Address
First Line : 321 N LOOMIS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1111
Country : US
Telephone Number : 773-254-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2018
Last Update Date : 01/18/2018

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Directions to “ KRISTEN SZEWCZYK PNP-C” Practice Location

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