Individual
KRISTI MARIE WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APRN, BC
Contact information
Practice address
4440 W 95TH ST STE 1200H, OAK LAWN, IL 60453-2600
(708) 684-5341
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209-005015
IL
Other
Enumeration date
04/16/2007
Last updated
01/24/2022
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