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Individual

KRISTINE URBAN MAKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1901 W HARRISON ST STE 3300, CHICAGO, IL 60612-3714
(312) 400-7558
Mailing address
1901 W HARRISON ST STE 3300, CHICAGO, IL 60612-3714
(312) 400-7558

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-140299
IL
208600000X
Surgery Physician
036140299
OH

Other

Enumeration date
06/12/2013
Last updated
05/05/2021
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