Duque, Kristin S

Duque, Kristin S is an individual health care provider with primary practice located at 2233 W Division St 2Nd Floor Cardiology Department, Chicago IL 60622-8151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as her primary health care specialty. Duque, Kristin S can be contacted via phone (312) 770-2385.

Contact Information

Primary practice address
2233 W Division St 2Nd Floor Cardiology Department Chicago IL 60622-8151
Phone: (312) 770-2385
Fax: (312) 770-2531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036-104337 Illinois

Profile Details

NPI number 1104058379
LBN Legal business name Duque, Kristin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2009
Last updated Jul 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104058379 NPPES
Illinois MEDICAID 036104337

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