BERNADETA AGNIESZKA KAPUSTKA

CHICAGO, IL
NPI1255898482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.014001)
Enumeration Date2019-02-24
Last Update Date2019-02-24
Business Address
BERNADETA AGNIESZKA KAPUSTKA FNP NP-C
5425 W ADDISON
CHICAGO, IL 60641
Phone number: 773-427-0298
Mailing Address
BERNADETA AGNIESZKA KAPUSTKA FNP NP-C
4443 N LA CROSSE AVE
CHICAGO, IL 60630-3911
Phone number: 773-600-8261