Kristin J Krosschell in Wilmette - Pediatrics
Kristin J Krosschell - NPI 1588764179
Kristin J Krosschell is a Pediatrics in Wilmette, Illinois. Kristin J Krosschell practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kristin J Krosschell is 1588764179. The last update date is 2007-07-08.
Kristin J Krosschell's current location address is 635 Park Ave, Wilmette, Illinois. You can contact this provider via phone number 8472747056 and fax number 8472568134. The mailing address for Kristin J Krosschell is 635 Park Ave, Wilmette, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin J Krosschell |
|---|---|
| Address | 635 Park Ave, Wilmette, Illinois |
| Phone Number | 8472747056 |
| Fax Number | 8472568134 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1588764179 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 635 Park Ave |
|---|---|
| City | Wilmette |
| State | Illinois (IL) |
| Post Code | 600912553 |
| Phone Number | 8472747056 |
| Fax Number | 8472568134 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5344114 | IL | AETNA PROVIDER # | |
| 1633523 | IL | BCBS PROVIDER # |
Post Comment/ Review Below
What is the Kristin J Krosschell's 1588764179?
The Kristin J Krosschell's NPI (National Provider Identifier) Number is 1588764179. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kristin J Krosschell?
The Kristin J Krosschell is physically situated at 635 Park Ave, in the city of Wilmette, state of IL, with the postal code 600912553.
What is Kristin J Krosschell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kristin J Krosschell is Pediatrics, and the taxonomy code that classifies this field of practice is 2251P0200X.
On what date did Kristin J Krosschell receive its 1588764179 assignment from the Centers for Medicare & Medicaid Services?
The Kristin J Krosschell was assigned its 1588764179 on 2006-09-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kristin J Krosschell most recently updated or revised?
The details related to Kristin J Krosschell, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI