Organization
NEST PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN KLOCKER APRN (PRESIDENT)
(630) 529-6969
Entity
Organization
Contact information
Practice address
473 W ARMY TRAIL RD STE 103, BLOOMINGDALE, IL 60108-2674
(630) 529-6969
Mailing address
473 W ARMY TRAIL RD STE 103, BLOOMINGDALE, IL 60108-2674
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277.001785
STATE LICENSE
IL
Enumeration date
07/06/2022
Last updated
03/19/2025
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