NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

KRISTINE P PULTORAK, DO
403 E 1ST ST
DIXON, IL61021
 Phone: 815-288-5561
 Fax: 815-285-5859
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KRISTINE P PULTORAK · (Female)

NPI Number 1306814298
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/08/2006
Last updated 11/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-092252
  • IL License # 036.092252
  • IL Medicaid 036092252
  • IL Other 381220005 MEDICARE
  • IL Other 800200006 MEDICARE
Hospital affiliation(s) Not Available
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.

Reviews for KRISTINE P PULTORAK

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for KRISTINE P PULTORAK
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
JOYCE JOHNSON, MD
102 S HENNEPIN AVE
DIXON, IL
TYRONE R BRAND, MD
403 E 1ST ST
DIXON, IL
SAFIYYAH M KHAN, MD
102 S HENNEPIN AVE
DIXON, IL
EMILEE J BOCKER, MD
305 E JOE DR
AMBOY, IL
HENRY OH, DO
711 DIVISION ST.
POLO, IL
SAUK MEDICAL CLINIC
705 W THIRD STREET
STERLING, IL
KENDALL VOGELER, MD
900 N 2ND ST
ROCHELLE, IL
SWEDISHAMERICAN HOSPITAL
230 W BLACKHAWK DR
BYRON, IL
DANIEL R RETZER, MD
5665 N. JUNCTION WAY
DAVIS JUNCTION, IL
TIMOTHY M FLYNN, MD
5665 N JUNCTION WAY
DAVIS JUNCTION, IL

  View all Doctors & Physicians
v2.403