Individual
KALINEE HANSEN ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 S CALIFORNIA AVE STE 100, CHICAGO, IL 60608-2486
(773) 584-6200
Mailing address
1221 HULL TER APT 3D, EVANSTON, IL 60202-3271
(801) 913-2605
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.008778
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2021
Last updated
03/17/2022
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