Individual provider · Type 1 NPI

Kristina Shpountova, OD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1750028353 Active

Practice location

820 S Damen Ave
Chicago, IL 60612-3728

Mailing address

410 W Crystal Ave
Lombard, IL 60148-1539

Other practice locations

  • 5000 S 5th Ave, Hines, IL 60141-3030 · (708) 202-8387

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750028353

Kristina Shpountova, OD's National Provider Identifier is 1750028353, issued on May 16, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 16, 2022.