Individual
KRISTINA LILJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 W DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5986
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-165614
IL
207V00000X
Obstetrics & Gynecology Physician
125075046
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
10/16/2023
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