Individual
KRISTINA ELIZABETH RENTROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
17322 E 2400 NORTH RD, BISMARCK, IL 61814-5046
(217) 655-1474
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041549266
IL
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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