MISS KIRSTEN ELIZABETH PELKA NP NPI 1639413974

NPI Information

NPI: 1639413974
Provider Name: MISS KIRSTEN ELIZABETH PELKA, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
5425 W ADDISON ST
OLD IRVING PARK COMMUNITY CLINIC
CHICAGO, IL
ZIP 60641
Phone: (773) 427-0298
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MISS Kirsten Elizabeth Pelka, NP is an adult health nurse practitioner in Chicago, IL. MISS Kirsten Elizabeth Pelka, NP NPI is 1639413974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5425 W ADDISON ST
OLD IRVING PARK COMMUNITY CLINIC
CHICAGO, IL
ZIP 60641-203
Phone: (773) 427-0298

The enumeration date for this NPI number is 11/26/2012 and was last updated on 11/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	209.009656	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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