KRZYSZTOF WLOSEK

URBANA, IL
NPI1437671435
Professional NameKRIS WLOSEK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209015995)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209.015995)
Enumeration Date2017-07-11
Last Update Date2020-03-06
Business Address
KRZYSZTOF WLOSEK APN
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3087
Mailing Address
KRZYSZTOF WLOSEK APN
611 W PARK ST FAPC
URBANA, IL 61801
Phone number: