Individual
KRISTY TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5841 S. MARYLAND AVE., MC 5040, SUITE E500, CHICAGO, IL 60637
(773) 702-5267
(773) 834-9114
Mailing address
5841 S. MARYLAND AVE., MC 5040, SUITE E500, CHICAGO, IL 60637
(773) 702-5267
(773) 702-4187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002792
IL
Other
Enumeration date
10/12/2006
Last updated
01/29/2015
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