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Search › Illinois › 363L00000X

Kristina Southerland, FNP

NPI 1528600277 · on the registry since 2019 · sole proprietor

Practice

Address
10604 Southwest Hwy Ste 101
Chicago Ridge, IL 60415
Phone
(708) 346-4065
Fax
(708) 423-5799
Organisation at this address
Millenium Pharmacy Ltd
Express Urgent Care Llc
American Medical Lab Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 24135 S Cicero Ave, Monee, IL
  • 17850 Kedzie Ave Ste 2200, Hazel Crest, IL

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-07

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