Individual
MRS. KRISTINA NASEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 200, O FALLON, IL 62269-1281
(618) 641-5803
Mailing address
3 SAINT ELIZABETH BLVD STE 200, O FALLON, IL 62269-1281
(618) 641-5803
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
01063556A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036.117801
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000530722
ANTHEM BCBS
IN
01
—
01063556A
BCBS OF ILLINOIS
IL
01
—
01063556A
LICENSE NUMBER
IN
05
—
200095110A
—
IN
01
—
5761568
AETNA
IN
01
—
P00421579
RAILROAD MEDICARE
GA
Enumeration date
08/05/2007
Last updated
01/06/2022
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