Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038.011718 | IL |
NPI | 1003127796 |
---|---|
Provider Name | Dr. Kristen Ann Halland |
First Address | Hoffman Estates, IL 60169-7220 |
Second Address | Hoffman Estates, IL 60169-7220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 20/02/2017 |