Kristopaitis, Theresa

Kristopaitis, Theresa is an individual health care provider with primary practice located at 2160 S 1St Ave (Ems Bldg., R. 2209), Maywood IL 60153. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kristopaitis, Theresa can be contacted via phone (708) 216-3250.

Contact Information

Primary practice address
2160 S 1St Ave (Ems Bldg., R. 2209) Maywood IL 60153
Phone: (708) 216-3250
Fax: (708) 216-2620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36092517 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036092517 Illinois

Profile Details

NPI number 1255306387
LBN Legal business name Kristopaitis, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255306387 NPPES
Illinois MEDICAID 36092517

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