Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KRISTIN NICOLE VERCILLO, M.D.
ActiveDR. KRISTIN NICOLE VERCILLO, M.D. is a Colon & Rectal Surgery healthcare provider located in LIBERTYVILLE, Illinois. NPI 1346561123 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1346561123
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2010 (16.18196307174 yrs)
- Last Updated
- Feb 11, 2025
- Licenses
-
125-057837 (IL)036-137521 (IL)
Practice Information
- Address
-
890 GARFIELD AVELIBERTYVILLE, IL, 600484723Browse IL providers · Browse ZIP 60048
- Phone
- 8478167495
- Fax
- 8478167497
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- Colon & Rectal Surgery
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.