Individual
MISS KIRSTEN ELIZABETH PELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5425 W ADDISON ST, OLD IRVING PARK COMMUNITY CLINIC, CHICAGO, IL 60641-3203
(773) 427-0298
Mailing address
5425 W ADDISON ST, OLD IRVING PARK COMMUNITY CLINIC, CHICAGO, IL 60641-3203
(773) 427-0298
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.009656
IL
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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