Provider Information for 1477859049
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KRISTEN N KASPEREK LPC
Sex: Female
NPI: 1477859049
Last Updated: 2024-09-10
Certification Date: 2024-09-10
Certification Date: 2024-09-10
Details
| Name | Value | ||||||||||||||||
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| NPI | 1477859049 | ||||||||||||||||
| Enumeration Date | 2011-01-31 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1282 BURNHAM AVE CALUMET CITY, IL 60409-5706 United States Phone: 708-227-5676 | Fax: | ||||||||||||||||
| Primary Practice Address | 450 W 14TH ST CHICAGO HEIGHTS, IL 60411-2463 United States Phone: 708-503-9670 | Fax: | ||||||||||||||||
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