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Individual

DR. KRISTINA L SARGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
416 E ROOSEVELT RD, STE 107, WHEATON, IL 60187-5589
(630) 682-5090
(630) 260-1230
Mailing address
416 E ROOSEVELT RD, STE 107, WHEATON, IL 60187-5589
(630) 682-5090
(630) 260-1230

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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