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MRS. KRISTINE IVY POL GUMAPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, AGACNP-BC, CCRN

Contact information

Practice address
909 DAVIS ST, EVANSTON, IL 60201-3683
(224) 487-4624
Mailing address
1819 N SAINT LOUIS AVE APT 1RS, CHICAGO, IL 60647-2261
(773) 512-3641

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209027420
IL

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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