KRISTINE NIESTROM

WILLOWBROOK, IL
NPI1497122212
Former NameKRISTINE PAUL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070021763)
Enumeration Date2015-08-27
Last Update Date2016-10-06
Business Address
-- KRISTINE NIESTROM PT
7191 S KINGERY HWY STE L6
WILLOWBROOK, IL 60527-5525
Phone number: 630-455-6630
Mailing Address
-- KRISTINE NIESTROM PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223