Individual
MS. KRISTIN J KROSSCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
635 PARK AVE, WILMETTE, IL 60091-2553
(847) 274-7056
(847) 256-8134
Mailing address
635 PARK AVE, WILMETTE, IL 60091-2553
(847) 274-7056
(847) 256-8134
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005344114
AETNA PROVIDER #
IL
01
—
01633523
BCBS PROVIDER #
IL
Enumeration date
09/23/2006
Last updated
07/08/2007
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