Kristen Veldman
Physician Assistant in Crestwood, IL. Individual provider (NPI-1).
NPI number1043662679
StatusActive
Last updated in NPPESMar 17, 2017
Details
- NPI
- 1043662679
- Entity type
- Individual (NPI-1)
- Name
- Kristen Veldman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2016
- Last updated
- Mar 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085005877 | IL | Yes |
Practice location
13755 Cicero AveCrestwood, IL 60445-1824
Phone 708-385-2400 · Fax 708-385-7840
Mailing address
901 McClintock Dr Ste 202Burr Ridge, IL 60527-0872
Phone 888-220-6432 · Fax 630-654-4253
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