KEVIN MATTHEW KRISE

CHICAGO, IL
NPI1982785572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085006901)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TX  PA04678)
363A00000X Physician Assistant
(Licence: IL  085.006901)
Enumeration Date2006-10-18
Last Update Date2025-08-07
Business Address
KEVIN MATTHEW KRISE PA-C
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611-5970
Phone number: 312-695-0990
Mailing Address
KEVIN MATTHEW KRISE PA-C
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611-5970
Phone number: 312-695-0990