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Organization
DR KRISTINA L SARGENT, LTD
Active
Organization
DR KRISTINA L SARGENT, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA L SARGENT D.C. (OWNER / COE)
(630) 682-5090
Entity
Organization
Contact information
Practice address
416 E ROOSEVELT RD, SUITE 107, WHEATON, IL 60187-5589
(630) 682-5090
(630) 260-1230
Mailing address
416 E ROOSEVELT RD, SUITE 107, WHEATON, IL 60187-5589
(630) 682-5090
(630) 260-1230
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038007040
IL
111NN1001X
Nutrition Chiropractor
038007040
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215708
BLUE CROSS & BLUE SHIELD
IL
Enumeration date
11/29/2007
Last updated
11/04/2010
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