Individual
MISS ALYSSA ANNE KRIEGERMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611
(312) 227-4604
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4604
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MT205519
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XOF849399674
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
04/01/2011
Last updated
05/18/2020
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