KRISTIAN RUSSELL LARSON

CHICAGO, IL
NPI1336885995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  125.079623)
Enumeration Date2022-05-06
Last Update Date2022-05-06
Business Address
KRISTIAN RUSSELL LARSON MD
2150 W HARRISON ST
CHICAGO, IL 60612-3706
Phone number: 312-942-5375
Mailing Address
KRISTIAN RUSSELL LARSON MD
2150 W HARRISON ST
CHICAGO, IL 60612-3706
Phone number: 312-942-5375