Individual provider · Type 1 NPI
Kevin Pustz, AGACNP
Critical Care Medicine Nurse Practitioner · Hazel Crest, IL
NPI number
1932808441
Active
Practice location
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041443955 (IL) |
| Acute Care Nurse Practitioner | 363LA2100X | 209027512 (IL) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 209-027512 (IL) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1932808441
Kevin Pustz, AGACNP's National Provider Identifier is 1932808441, issued on Feb 23, 2023. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Hazel Crest, IL. The record was last updated on Oct 2, 2024.