Healthcare Provider Details

I. General information

NPI: 1760345532
Provider Name (Legal Business Name): MRS. KRISTIN ELIZABETH HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTIN ELIZABETH KLINGENSMITH

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 EAGLE AVE
WASHINGTON IL
61571-1111
US

IV. Provider business mailing address

1301 EAGLE AVE
WASHINGTON IL
61571-1111
US

V. Phone/Fax

Practice location:
  • Phone: 309-444-3943
  • Fax:
Mailing address:
  • Phone: 309-444-3943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number2740091
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: