Healthcare Provider Details

I. General information

NPI: 1124220462
Provider Name (Legal Business Name): CHRISTINE B HILLS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 CHICAGO AVE STE 500
MINNEAPOLIS MN
55404-4291
US

IV. Provider business mailing address

2530 CHICAGO AVE STE 500
MINNEAPOLIS MN
55404-4291
US

V. Phone/Fax

Practice location:
  • Phone: 612-813-8800
  • Fax: 612-813-8825
Mailing address:
  • Phone: 612-813-8800
  • Fax: 612-813-8825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number18717
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number49537
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: