Individual
KRISTI ANN PITTMAN-SPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N JEFFERSON AVE, BRADLEY, IL 60915-1829
(708) 724-8759
Mailing address
101 N JEFFERSON AVE, BRADLEY, IL 60915-1829
(708) 724-8759
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043104446
IL
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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