Individual
MRS. KRISTINE BARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
4525 PROVIDENCE RD, GURNEE, IL 60031-3263
(847) 599-9667
(847) 599-9669
Mailing address
4525 PROVIDENCE RD, GURNEE, IL 60031-3263
(847) 599-9667
(847) 599-9669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04928078
BCBS PROVIDER NUMBER
IL
Enumeration date
02/06/2007
Last updated
07/08/2007
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