Individual
KRIS MC CLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
518 LUCINDA AVE, UNIVERSITY HEALTH SERVICES, NIU, DEKALB, IL 60115-2828
(815) 753-1311
(815) 753-9599
Mailing address
518 LUCINDA AV, UNIVERSITY HEALTH SERVICES, NORTHERN ILLINOIS UNIVERS, DEKALB, IL 60115
(815) 753-1311
(815) 753-9599
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
041-145837
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209-000603
IL
Other
Enumeration date
02/09/2006
Last updated
05/06/2013
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