KRYSTINA BLAS

BURR RIDGE, IL
NPI1790137180
Former NameKRYSTINA CHRISTOPHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  2016006382)
Enumeration Date2016-07-08
Last Update Date2017-06-12
Business Address
-- KRYSTINA BLAS FNP
11S250 S JACKSON ST
BURR RIDGE, IL 60527-6891
Phone number: 630-451-9503
Mailing Address
-- KRYSTINA BLAS FNP
195 COLONY
ROSELLE, IL 60172-1717
Phone number:
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