Individual
KRISTEN L VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 N. WINFIELD RD, WINFIELD, IL 60190
(630) 260-0600
(630) 260-1370
Mailing address
25 N. WINFIELD RD, WINFIELD, IL 60190
(630) 260-0600
(630) 260-1370
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036123565
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123565
—
IL
01
—
920540
MEDICARE PTAN (CPG GROUP)
IL
01
—
920540038
MEDICARE PTAN (CPG INDIVIDUAL)
IL
Enumeration date
04/10/2006
Last updated
02/26/2015
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