KRISTINE S ANDERSON

CHAMPAIGN, IL
NPI1023037173
Former NameKRISTINE M SANKOVITCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: WA  PA10004827)
Enumeration Date2006-07-19
Last Update Date2014-05-08
Business Address
-- KRISTINE S ANDERSON PA
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-383-3260
Mailing Address
-- KRISTINE S ANDERSON PA
611 W. PARK ST.
URBANA, IL 61801-2500
Phone number: 217-383-6941