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Individual

KRISTIN L FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
400 S KENNEDY DR, BRADLEY, IL 60915-2682
(815) 928-0860
(800) 505-2218
Mailing address
400 S KENNEDY DR, BRADLEY, IL 60915-2682
(815) 928-0860
(800) 505-2218

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-001387
IL

Other

Enumeration date
10/13/2006
Last updated
06/08/2010
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