Individual
DR. KRISTINA L SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
038007040
IL
111NN1001X
Nutrition Chiropractor
Primary
038007040
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215708
BCBS
IL
01
—
271151301
LBN
IL
01
—
601205300
FED WORK COMP
IL
Enumeration date
08/12/2006
Last updated
11/04/2010
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