Individual
KRISTEN TERESE REPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2033 W ROSCOE ST, CHICAGO, IL 60618-6386
(312) 479-7853
Mailing address
2033 W ROSCOE ST, CHICAGO, IL 60618-6386
(312) 479-7853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209027489
IL
Other
Enumeration date
06/15/2023
Last updated
03/06/2025
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