National Provider Identifier Database

KRISTINE P PULTORAK, DO – NPI #1306814298
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

KRISTINE P PULTORAK, DO
403 E 1ST ST
DIXON, IL61021
Phone: 815-288-5561
Fax: 815-285-5859
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for KRISTINE P PULTORAK

NPI Number 1306814298
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/08/2006
Last updated 11/17/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036-092252
  • IL License #: 036.092252
  • IL Medicaid: 036092252
  • IL Other: 381220005 MEDICARE
  • IL Other: 800200006 MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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