Individual
DR. DEAN KRISTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 AUSTIN ST, EAST TWR STE 563, EVANSTON, IL 60202-3439
(847) 869-0522
Mailing address
800 AUSTIN ST, EAST TWR STE 563, EVANSTON, IL 60202-3439
(847) 869-0522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036171558
IL
208600000X
Surgery Physician
4301101331
MI
2086S0102X
Surgical Critical Care Physician
036171558
IL
2086S0102X
Surgical Critical Care Physician
4301101331
MI
2086S0127X
Trauma Surgery Physician
036171558
IL
2086S0127X
Trauma Surgery Physician
4301101331
MI
Other
Enumeration date
07/12/2012
Last updated
08/15/2024
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