Individual
KRISTA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1200 S YORK ST STE 2000, ELMHURST, IL 60126-5634
(331) 221-9003
Mailing address
4201 WINFIELD RD FL 3, WARRENVILLE, IL 60555-4025
(331) 221-6377
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.416140
IL
363L00000X
Nurse Practitioner
Primary
209022007
IL
Other
Enumeration date
04/15/2020
Last updated
05/24/2023
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