KRISTIN SANDRA DIBENEDETTO
NPI 1588230486
Registered Nurse - Gerontology in Woodridge, IL
Active since June 01, 2021
About Kristin Sandra Dibenedetto NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN SANDRA DIBENEDETTO (NPI 1588230486) is an individual gerontology provider in Woodridge, Illinois, licensed in Illinois (041282650) and active in the NPI registry since June 2021.
NPPES Registry Identity
NPI1588230486
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameKRISTIN SANDRA DIBENEDETTO
Location Address7125 JANES AVEWoodridge, IL 60517-2303
Mailing Address7125 Janes AveWoodridge, IL 60517-2303
Phone(630) 981-8000
Sole ProprietorNo
Enumeration DateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1588230486 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License✔ Licensed in IL · 041282650
7125 JANES AVE, Woodridge, IL 60517
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588230486, enumerated as an "individual" on June 01, 2021.
The provider is located at 7125 JANES AVE WOODRIDGE, IL 60517 and the phone number is (630) 981-8000.
Registered Nurse with taxonomy code 163WG0600X and a focus in Gerontology.