Individual
KRISTA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 S MAPLE AVE STE 5500, OAK PARK, IL 60304-2808
(312) 563-3000
Mailing address
610 S MAPLE AVE STE 5500, OAK PARK, IL 60304-2808
(312) 563-3000
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036161862
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2016
Last updated
09/22/2022
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