Healthcare Provider Details

I. General information

NPI: 1639463870
Provider Name (Legal Business Name): KRISTINE SANTOS MARTIN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTINE STELLA SANTOS

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHICAGO AVE # 69
CHICAGO IL
60611-2991
US

IV. Provider business mailing address

225 E CHICAGO AVE # 69
CHICAGO IL
60611-2991
US

V. Phone/Fax

Practice location:
  • Phone: 312-227-6190
  • Fax:
Mailing address:
  • Phone: 312-227-6190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number209.008797
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: