Individual
DR. KRISTIN MICHELLE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1423 CHICAGO RD, CHICAGO HEIGHTS, IL 60411-3400
(708) 709-1000
Mailing address
121 W CHESTNUT ST, 3402, CHICAGO, IL 60610-3175
(304) 893-8940
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
57.016186
OH
Other
Enumeration date
10/23/2009
Last updated
01/22/2013
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