Kristie Jo Hittle, MA, ATC, LAT
Specialist in River Forest, IL. Individual provider (NPI-1).
NPI number1104886464
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104886464
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kristie Jo Hittle
- Credential
- MA, ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 096-002106 | IL | Yes |
Practice location
7400 Augusta StRiver Forest, IL 60305-1402
Phone 708-209-3620 · Fax 708-209-3154
Mailing address
911 S Country LnMt Prospect, IL 60056-4234
Phone 989-666-8919 · Fax 708-209-3154
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