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Individual

KRISTEN BUGAJSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10604 SOUTHWEST HWY STE 200, CHICAGO RIDGE, IL 60415-2717
(708) 424-9710
Mailing address
2100 PROVIDENCE WAY, JOLIET, IL 60431
(708) 793-3210

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209031490
IL
363LP2300X
Primary Care Nurse Practitioner
209031490
IL

Other

Enumeration date
01/28/2025
Last updated
05/30/2025
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