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Search › Illinois › 207P00000X

Kristine Pultorak, D.O

NPI 1306814298 · on the registry since 2006

Practice

Address
403 E 1st St
Dixon, IL 61021
Phone
(815) 288-5561
Fax
(815) 285-5859
Organisation at this address
Osf Healthcare System
Osf Healthcare System
Ksb Medical Group, Inc.
Katherine Shaw Bethea Hospital
Katherine Shaw Bethea Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois