Individual
KRISTINA REGINA GASPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16519 S RTE 59, PLAINFIELD, IL 60586-2606
(630) 646-5020
(630) 646-5025
Mailing address
16519 S RTE 59, PLAINFIELD, IL 60586-2606
(630) 646-5020
(630) 646-5025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003877
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633203
BCBS GROUP
IL
01
—
10115176
BCBS GROUP
IL
Enumeration date
11/01/2010
Last updated
09/20/2016
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