Individual
MICHELLE KRISCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PA-C, ATC,
Contact information
Practice address
2515 N CLARK ST, CHICAGO, IL 60614-2730
(312) 227-6515
(312) 227-9404
Mailing address
225 E CHICAGO AVE # 69, CHICAGO, IL 60611-2991
(312) 227-6515
(312) 227-9404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
LAT-2034
NC
363A00000X
Physician Assistant
Primary
085.0072
IL
Other
Enumeration date
04/21/2015
Last updated
01/20/2021
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