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Individual

KRISTY LUCILE WOLNIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PH.D.

Contact information

Practice address
303 E CHICAGO AVE, W127 WARD 6-223, NORTHWESTERN UNIVERSITY, CHICAGO, IL 60611-4296
(312) 503-8144
Mailing address
303 E CHICAGO AVE, W127 WARD 6-223, NORTHWESTERN UNIVERSITY, CHICAGO, IL 60611-4296
(312) 503-8144

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125050776
IL

Other

Enumeration date
08/14/2008
Last updated
08/14/2008
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