Kristen M Streeter ATC

NPI 1083609903 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1083609903
Gender Female
Enumeration Date 09/16/2005
Last Updated 07/23/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2040 S NEIL ST
CHAMPAIGN IL, 61820-7220, US
Phone (217) 352-3330
Fax (217) 352-4616
Business Location
2040 S NEIL ST
CHAMPAIGN IL, 61820-7220, US
Phone (217) 352-3330
Fax (217) 352-4616
Toxanomy
Taxonomy Code 2255A2300X
License State Illinois
License Number 096-001120
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According to our database, Kristen M Streeter ATC NPI is 1083609903, taxonomy code is 2255A2300X and license number is 096-001120, license state is located at Illinois. Kristen M Streeter ATC physically located at 2040 S Neil St, Champaign IL, 61820-7220. NPI Number Kristen M Streeter ATC has the Individual type.

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1083609903 NPI number is provided on an as is basis without warranty of any kind. 1083609903 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen M Streeter ATC are for informational purposes only.