KRISTINE P PULTORAK

DIXON, IL
NPI1306814298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036.092252)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  036-092252)
Enumeration Date2006-03-08
Last Update Date2022-11-17
Business Address
Dr. KRISTINE P PULTORAK D.O.
403 E 1ST ST
DIXON, IL 61021
Phone number: 815-288-5561
Mailing Address
Dr. KRISTINE P PULTORAK D.O.
403 E 1ST ST
DIXON, IL 61021-3116
Phone number: 815-288-5561