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Contact Information

KRISTY TODD, PA-C
5841 S. MARYLAND AVE.
MC 5040, SUITE E500
CHICAGO, IL60637
 Phone: 773-702-5267
 Fax: 773-834-9114
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KRISTY TODD · (Female)

NPI Number 1508955394
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/12/2006
Last updated 01/29/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 085002792
Hospital affiliation(s)
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
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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