Kristine P Pultorak in Dixon - Family Medicine
Kristine P Pultorak - NPI 1306814298
Kristine P Pultorak is a Family Medicine in Dixon, Illinois. Kristine P Pultorak practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kristine P Pultorak is 1306814298. The last update date is 2022-11-17.
Kristine P Pultorak's current location address is 403 E 1st St, Dixon, Illinois. You can contact this provider via phone number 8152885561 and fax number 8152855859. The mailing address for Kristine P Pultorak is 403 E 1st St, Dixon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine P Pultorak |
|---|---|
| Address | 403 E 1st St, Dixon, Illinois |
| Phone Number | 8152885561 |
| Fax Number | 8152855859 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1306814298 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2022-11-17 |
Provider Mailing Address Detail
| Address | 403 E 1st St |
|---|---|
| City | Dixon |
| State | Illinois (IL) |
| Post Code | 610213116 |
| Phone Number | 8152885561 |
| Fax Number | 8152855859 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 036-092252 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36092252 | IL | -- | |
| 800200006 | IL | MEDICARE | |
| 381220005 | IL | MEDICARE |
Post Comment/ Review Below
What is the Kristine P Pultorak's 1306814298?
The Kristine P Pultorak's NPI (National Provider Identifier) Number is 1306814298. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Kristine P Pultorak by the Centers for Medicare & Medicaid Services (CMS)?
The Kristine P Pultorak has been assigned the NPI (National Provider Identifier) 1306814298. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kristine P Pultorak?
The Kristine P Pultorak is physically situated at 403 E 1St St, in the city of Dixon, state of IL, with the postal code 610213116.
On what date did the Centers for Medicare & Medicaid Services issue the 1306814298 to Kristine P Pultorak?
The Kristine P Pultorak received its 1306814298 assignment from the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the information pertaining to Kristine P Pultorak most recently updated or revised?
The details related to Kristine P Pultorak, including its address, specialty, and other relevant information, were last updated or revised on 2022-11-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY