Individual
DR. KRISTIN NICOLE VERCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
890 GARFIELD AVE, LIBERTYVILLE, IL 60048-4723
(847) 816-7495
(847) 816-7497
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125-057837
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
036-137521
IL
Other
Enumeration date
06/16/2010
Last updated
02/11/2025
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