Individual
KRISTINE M LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3800 HIGHLAND AVE STE 105, DOWNERS GROVE, IL 60515-1558
(630) 574-8222
(630) 574-8225
Mailing address
3800 HIGHLAND AVE STE 105, DOWNERS GROVE, IL 60515-1558
(630) 574-8222
(630) 574-8225
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
085.000355
IL
363A00000X
Physician Assistant
Primary
085.000355
IL
363AM0700X
Medical Physician Assistant
085000355
IL
363AS0400X
Surgical Physician Assistant
085000355
IL
Other
Enumeration date
01/04/2006
Last updated
12/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us