Individual
KRISTINA HOUGSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2S729 TIMBER DR, WARRENVILLE, IL 60555-2722
(630) 373-5524
Mailing address
2S729 TIMBER DR, WARRENVILLE, IL 60555-2722
(630) 373-5524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007733
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2020
Last updated
12/08/2021
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