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1730304692
KRISTI MARIE WADDELL
OAK LAWN, IL
NPI
1730304692
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Former Name
KRISTI MARIE PHILLIPS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209-005015)
Enumeration Date
2007-04-16
Last Update Date
2022-01-24
Business Address
KRISTI MARIE WADDELL RN, APRN, BC
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453-2600
Phone number: 708-684-5341
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Mailing Address
KRISTI MARIE WADDELL RN, APRN, BC
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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