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Individual

MARK KRUSZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN, CNP

Contact information

Practice address
3310 W MAIN ST, SUITE 200, ST CHARLES, IL 60175-1000
(630) 897-6044
(630) 897-0180
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6800

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.008847
IL

Other

Enumeration date
06/07/2011
Last updated
02/21/2017
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