person
Hanna Marie Kingstad
Surgical Physician Assistant in Evanston, Illinois
NPI 1366176612

Hanna Marie Kingstad is a Surgical Physician Assistant based in Evanston, IL and is specialized in Surgical. Hanna Marie Kingstad practices in Evanston, IL. The NPI Number for Hanna Marie Kingstad is 1366176612 and holds a License No. 085010156 (Illinois).

The current practice location address for Hanna Marie Kingstad is 2650 Ridge Ave., Evanston, IL and can be reached out via phone at 847-570-2827 and via fax at 847-733-5005.

Location: 2650 Ridge Ave., Evanston, IL, 60201-1718
person
Provider Profile Details
NPI Number
1366176612
Provider Name
Hanna Marie Kingstad
Credential
Provider Entity Type
Individual
Gender
Female
Address
2650 Ridge Ave., Evanston, IL, 60201-1718
Phone Number
847-570-2827
Fax Number
847-733-5005
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2650 Ridge Ave.
City
State
Zip
60201-1718
Phone Number
847-570-2827
Fax Number
847-733-5005
person
Provider Business Mailing Address Details
Address
2650 Ridge Ave.
City
State
Zip
60201-1718
Phone Number
847-570-2827
Fax Number
847-733-5005
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085010156 (Illinois)
Definition
Definition to come...
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