Individual
DR. KIRSTEN HELENA FILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.153743
IL
207L00000X
Anesthesiology Physician
125075302
IL
207R00000X
Internal Medicine Physician
MT213480
PA
Other
Enumeration date
06/24/2017
Last updated
01/30/2023
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