HANNA MARIE KINGSTAD

EVANSTON, IL
NPI1366176612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085010156)
Enumeration Date2022-07-13
Last Update Date2024-02-06
Business Address
HANNA MARIE KINGSTAD
2650 RIDGE AVE. WALGREEN 3507
EVANSTON, IL 60201-1718
Phone number: 847-570-2827
Mailing Address
HANNA MARIE KINGSTAD
2650 RIDGE AVE. WALGREEN 3507
EVANSTON, IL 60201-1718
Phone number: 847-570-2827
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