Mrs Kristina Gay Wynn, LCSW,CADC,RN is a
Registered Nurse - Psychiatric/mental Health based in Oak Forest, Illinois. Mrs Kristina Gay Wynn is licensed to practice in Illinois (license number ) and her current practice location is
5320 159th Street, Suite 100, Oak Forest, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 717-0191.
NPI number for Mrs Kristina Gay Wynn is 1356436653 and her current mailing address is 390 E. Bethel, Bourbonnais, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356436653.
Healthcare Provider's Profile
Full Name | Mrs Kristina Gay Wynn |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 5320 159th Street, Oak Forest, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356436653
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kristina Gay Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356436653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 5573 (Illinois) | Primary |
101YP2500X | Counselor - Professional | (Illinois) | Primary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristina Gay Wynn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kristina Gay Wynn, LCSW,CADC,RN 390 E. Bethel, Bourbonnais, IL 60914 Ph: (708) 936-0778 | Mrs Kristina Gay Wynn, LCSW,CADC,RN 5320 159th Street, Suite 100, Oak Forest, IL 60452 Ph: (708) 717-0191 |
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