Individual
KRISTY-LYN MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-6097
(401) 444-4557
Mailing address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-6097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.079245
IL
208600000X
Surgery Physician
LP04367
RI
Other
Enumeration date
07/19/2018
Last updated
08/02/2022
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