# KRISTINE OLIVAS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013154129
- **Authorized official:** KRISTINE OLIVAS M.A. (OWNER)
- **Authorized official phone:** (773) 957-5352

## Contact information

- **Practice address:** 10725 S WESTERN AVE, CHICAGO, IL 60643-3135
- **Practice address phone:** (773) 957-5352
- **Practice address fax:** (773) 253-9551
- **Mailing address:** 11164 S SAINT LOUIS AVE, CHICAGO, IL 60655-3521
- **Mailing address phone:** (773) 253-9551
- **Mailing address fax:** (773) 253-9551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 166.000734 | IL | Yes |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 03/10/2009