Individual
KRISTLE PERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
9119 S MERRILL AVE, CHICAGO, IL 60617-3830
(773) 559-3403
Mailing address
9119 S MERRILL AVE, CHICAGO, IL 60617-3830
(773) 559-3403
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
07/27/2022
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