Individual
BERNADETA AGNIESZKA KAPUSTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP NP-C
Contact information
Practice address
5425 W ADDISON, CHICAGO, IL 60641
(773) 427-0298
Mailing address
4443 N LA CROSSE AVE, CHICAGO, IL 60630-3911
(773) 600-8261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.014001
IL
Other
Enumeration date
02/24/2019
Last updated
02/24/2019
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