NPI | 1437671435 |
---|---|
Professional Name | KRIS WLOSEK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015995) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015995) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2020-03-06 |