Individual
CHRISTINA MARY KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 N MICHIGAN AVE APT 411, CHICAGO, IL 60611-3825
(913) 219-6204
Mailing address
535 N MICHIGAN AVE APT 411, CHICAGO, IL 60611-3825
(913) 219-6204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041429070
IL
363L00000X
Nurse Practitioner
Primary
209024380
IL
Other
Enumeration date
04/06/2022
Last updated
04/19/2022
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