Individual
KRISTEN HAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4909 W DIVISION ST STE 508, CHICAGO, IL 60651
(773) 364-4600
(773) 854-7511
Mailing address
1133 191ST ST, HOMEWOOD, IL 60430-4432
(630) 220-3473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002435
IL
363AM0700X
Medical Physician Assistant
085002435
IL
Other
Enumeration date
10/09/2006
Last updated
09/12/2025
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