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

KRISTINA SOUTHERLAND, FNP

Active Sole Proprietor

KRISTINA SOUTHERLAND, FNP is a Nurse Practitioner healthcare provider located in CHICAGO RIDGE, Illinois. NPI 1528600277 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · CHICAGO RIDGE, IL

Registration Details

NPI Number
1528600277
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2019 (6.8120064359226 yrs)
Last Updated
Aug 7, 2025
License
209020105 (IL)
Sole Proprietor
Yes

Practice Information

Address
10604 SOUTHWEST HWY STE 101
CHICAGO RIDGE, IL, 604152704
Browse IL providers · Browse ZIP 60415
Phone
7083464065
Fax
7084235799
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in CHICAGO RIDGE, IL

Name Credential NPI
JENNIFER NOONAN APN 1649623364
CHARMAINE PELAYO 1366084725
DESIRAE DEMARCO APN 1821628710
SHAHIRA HALIM 1124796941
MS. LILLY H PARK NP 1346929601
JAMES JOHN GORDON NP 1972335024
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.