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Individual

LISA KAY KRACINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
340 W BUTTERFIELD RD STE 3B, ELMHURST, IL 60126-5043
(630) 869-0888
Mailing address
10745 S HAMLIN AVE, CHICAGO, IL 60655-3914
(773) 332-7343

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020605
IL
363LF0000X
Family Nurse Practitioner
Primary
209.020605
IL
363LF0000X
Family Nurse Practitioner
209020605
IL

Other

Enumeration date
02/06/2020
Last updated
03/25/2025
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