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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTY-LYN MCINTOSH, MD

Deactivated Sole Proprietor

KRISTY-LYN MCINTOSH, MD is a Family Medicine healthcare provider located in CHICAGO, Illinois. NPI 1255818555 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · CHICAGO, IL

This NPI has been deactivated. The record was deactivated on June 23, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1255818555
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2018 (0.92876712328767 yrs)
Last Updated
Aug 2, 2022
Deactivated
Jun 23, 2019
Licenses
LP04367 (RI)
125.079245 (IL)
Sole Proprietor
Yes

Practice Information

Address
1500 S FAIRFIELD AVE
CHICAGO, IL, 606081782
Browse IL providers · Browse ZIP 60608
Phone
7732576097
Fax
4014444557
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in CHICAGO, IL

Name Credential NPI
ANDREW M PAVLATOS MD 1679576201
KEVIN G MURPHY MD 1932102563
ROKEYA BEGUM AKHTAR MD 1780687368
JAMES P CLANCY MD 1538162102
CHRISTINE L SCHWARTZ PETERSON MD 1285637801
MARZENA LIPINSKA MD 1487657078
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.