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NPI Code Detail

MEDICARE: KRISTA WUNSCH PA-C

MEDICARE: KRISTA WUNSCH PA-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
1363A00000XPhysician Assistant11698AZ
2363A00000XPhysician Assistant085008391IL

General Provider Information

NPI Number : 1811510506
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA WUNSCH PA-C
Provider Business Mailing Address
First Line : 1616 GRAND AVE STE A
Second Line :
City : WAUKEGAN
State : IL
Zip : 60085-3676
Country : US
Telephone Number : 847-249-1733
Fax Number : 847-782-4515
Provider Business Practice Location Address
First Line : 200 S WACKER DR FL 31
Second Line :
City : CHICAGO
State : IL
Zip : 60606-5877
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2020
Last Update Date : 04/24/2026

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Directions to “ KRISTA WUNSCH PA-C” Practice Location

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