MEDICARE: KRISTA KLOSOWSKI RN, CNS

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	133N00000X	Nutritionist
2	163W00000X	Registered Nurse	041.389649	IL
3	133V00000X	Registered Dietitian	164.008778	IL

General Provider Information

NPI Number	:	1922703271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA KLOSOWSKI RN, CNS

Provider Business Mailing Address
First Line	:	6493 N NORTHWEST HWY APT 410
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-1892
Country	:	US
Telephone Number	:	616-217-6477
Fax Number	:

Provider Business Practice Location Address
First Line	:	6493 N NORTHWEST HWY APT 410
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-1892
Country	:	US
Telephone Number	:	616-217-6477
Fax Number	:

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

Provider Enumeration Date	:	04/04/2023
Last Update Date	:	05/04/2023

Similar Medicare Providers

1568481232 — DR. SANDRA RENEE MCGOWAN M.D.
Practice Location Address:

222 VOLLMER RD STE 2A
CHICAGO HEIGHTS, IL
60411-1892

Practice Phone: 708-480-9730
Practice Fax: 877-522-7815

1326517632 — MCGOWAN FAMILY HEALTH & WELLNESS CENTER P.C.
Practice Location Address:

222 VOLLMER RD STE 2A
CHICAGO HEIGHTS, IL
60411-1892

Practice Phone: 708-480-9730
Practice Fax: 877-522-7815

1770166647 — DR. DOMINIQUE REEVES MD
Practice Location Address:

222 VOLLMER RD STE 2A
CHICAGO HEIGHTS, IL
60411-1892

Practice Phone: 708-480-9730
Practice Fax: 877-522-7815

1992414981 — SMILE AVENUE FAMILY AND COSMETIC DENTISTRY
Practice Location Address:

519 W CHICAGO ST
COLDWATER, MI
49036-1892

Practice Phone: 517-279-7900
Practice Fax:

1497611040 — GABRIELA MARTINEZ LSW
Practice Location Address:

8745 W HIGGINS RD
CHICAGO, IL
60631-2704

Practice Phone: 708-255-6414
Practice Fax:

1275498867 — REBECCA JONES
Practice Location Address:

6321 N AVONDALE AVE STE 204
CHICAGO, IL
60631-1961

Practice Phone: 773-774-4444
Practice Fax:

Directions to “ KRISTA KLOSOWSKI RN, CNS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.