Derungs, Kristin M

Derungs, Kristin M is an individual health care provider with primary practice located at 17495 La Grange Rd , Tinley Park IL 60487-7581. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Derungs, Kristin M can be contacted via phone (708) 226-7000.

Contact Information

Primary practice address
17495 La Grange Rd Tinley Park IL 60487-7581
Phone: (708) 226-7000
Fax: (708) 226-7174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005320 Illinois

Profile Details

NPI number 1588052385
LBN Legal business name Derungs, Kristin M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2014
Last updated Nov 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588052385 NPPES
Illinois Other F400191117 LOCALITY 16
Illinois Other P01445054 LOCALITY 16
Illinois Other F400191119 LOCALITY 16

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