Individual
MONIKA E KRUPSKA-BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 SAINT ANTHONYS WAY, 3RD FLOOR, PAIN MANAGEMENT, ALTON, IL 62002-4568
(618) 474-6318
Mailing address
1 SAINT ANTHONYS WAY, 3RD FLOOR, PAIN MANAGEMENT, ALTON, IL 62002-4568
(570) 295-3619
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085004543
IL
363AM0700X
Medical Physician Assistant
MA 055095
PA
Other
Enumeration date
10/07/2011
Last updated
10/07/2015
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