Individual
DR. KATHLEEN BLEYAERT KROSTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24238 W. BAYVIEW RD, ANTIOCH, IL 60002
(849) 395-3214
(847) 514-1412
Mailing address
24238 W. BAYVIEW RD, ANTIOCH, IL 60002
(849) 395-3214
(847) 514-1412
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
12/19/2022
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