Dr KRISTIN M BALTHAZOR is a female medical professional, specializing in Physician Assistant. She graduated in 2006.
RIVERSIDE HEALTH SYSTEM
23120 S LAGRANGE RD
SUITE 200
FRANKFORT
IL
604237760
Tel: 8154645440
| Npi | 1649422619 |
| Pac Id | 0345398921 |
| Professional Enrollment Id | I20090508000520 |
| Last Name | BALTHAZOR |
| First Name | KRISTIN |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Group Practice Pac Id | 3274434717 |
| Number Of Group Practice Members | 153 |
| Line 1 Street Address | 23120 S LAGRANGE RD |
| Line 2 Street Address | SUITE 200 |
| Marker Of Address Line 2 Suppression | |
| City | FRANKFORT |
| State | IL |
| Zip Code | 604237760 |
| Phone Number | 8154645440 |
| Hospital Affiliation Ccn 1 | 140186 |
| Hospital Affiliation Lbn 1 | RIVERSIDE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 140167 |
| Hospital Affiliation Lbn 2 | IROQUOIS MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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