Provider Demographics
NPI:1457658742
Name:CAMPIONE, KRISTINA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:MARIE
Last Name:CAMPIONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2S631 RTE 59
Mailing Address - Street 2:UNIT C
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-1441
Mailing Address - Country:US
Mailing Address - Phone:630-393-0800
Mailing Address - Fax:630-393-3880
Practice Address - Street 1:2S631 RTE 59
Practice Address - Street 2:UNIT C
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-1441
Practice Address - Country:US
Practice Address - Phone:630-393-0800
Practice Address - Fax:630-393-3880
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor