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Individual

MS. KRISTINA NANCY HAJEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
15300 WEST AVE # LL, ORLAND PARK, IL 60462-4600
(708) 923-5173
(708) 923-5018
Mailing address
15300 WEST AVE # LL, ORLAND PARK, IL 60462-4600
(708) 923-5173
(708) 923-5018

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004500
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F400387289
MEDICARE PTAN
IL
Enumeration date
11/17/2012
Last updated
12/01/2021
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