Krosschell, Kristin J

Krosschell, Kristin J is an sole proprietor health care provider with primary practice located at 635 Park Ave , Wilmette IL 60091-2553. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Krosschell, Kristin J can be contacted via phone (847) 274-7056.

Contact Information

Primary practice address
635 Park Ave Wilmette IL 60091-2553
Phone: (847) 274-7056
Fax: (847) 256-8134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X Illinois

Profile Details

NPI number 1588764179
LBN Legal business name Krosschell, Kristin J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1588764179 NPPES
Illinois Other 0005344114 AETNA PROVIDER #
Illinois Other 01633523 AETNA PROVIDER #

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