Provider Demographics
NPI:1003057936
Name:TOUGH DESAPRI, KRISTI A (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:A
Last Name:TOUGH DESAPRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KRISTI
Other - Middle Name:A
Other - Last Name:TOUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:570 LINCOLN AVENUE, SUITE 4
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093
Mailing Address - Country:US
Mailing Address - Phone:847-999-7171
Mailing Address - Fax:
Practice Address - Street 1:570 LINCOLN AVENUE SUITE 4
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093
Practice Address - Country:US
Practice Address - Phone:847-999-7171
Practice Address - Fax:847-407-8286
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036130558207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine