Individual
DR. KRISTINE M RENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
502 SWIFT AVE, OGLESBY, IL 61348-1172
(815) 883-7024
Mailing address
502 SWIFT AVE, OGLESBY, IL 61348-1172
(815) 883-7024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05022845
BLUE CROSS
—
Enumeration date
11/07/2006
Last updated
07/08/2007
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