| 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 |