Healthcare Provider Details

I. General information

NPI: 1467618736
Provider Name (Legal Business Name): KRISTIA L PATSAVAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 DELNOR DR STE 204
GENEVA IL
60134-4226
US

IV. Provider business mailing address

351 DELNOR DR STE 204
GENEVA IL
60134-4226
US

V. Phone/Fax

Practice location:
  • Phone: 630-653-4240
  • Fax: 630-938-9190
Mailing address:
  • Phone: 630-653-4240
  • Fax: 630-938-9190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036.121080
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: