KRISTIN M DERUNGS PA-C
NPI 1588052385
Physician Assistant in Tinley Park, IL

Active since December 31, 2014
17495 LA GRANGE RD, TINLEY PARK, IL 60487(708) 226-7000(708) 226-7174 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristin M Derungs Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN M DERUNGS PA-C (NPI 1588052385) is an individual physician assistant in Tinley Park, Illinois, licensed in Illinois (085005320) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1588052385
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIN M DERUNGSCredential: PA-C
Location Address17495 LA GRANGE RDTinley Park, IL 60487-7581
Mailing Address17495 La Grange RdTinley Park, IL 60487-7581 · (708) 226-7000 · Fax (708) 226-7174
Fax(708) 226-7174
Sole ProprietorNo
Enumeration DateDecember 31, 2014
Last NPPES UpdateNovember 13, 2015
NPI 1588052385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085005320
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
17495 LA GRANGE RD, Tinley Park, IL 60487

Other Names 1

Former Name (1)Kristin M Dileonarde Pa-c

Other Identifiers 6

Medicare PINF400191117IL
OtherF400191117IL · Locality 16
Medicare PINP01445054IL
OtherF400191119IL · Locality 15
Medicare PINF400191119IL
OtherP01445054IL · Rrmc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Social Worker (Clinical)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Radiology (Diagnostic Radiology)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Nurse Practitioner
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Physician Assistant
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Nurse Practitioner (Family)
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Emergency Medicine
17495 LA GRANGE RD
TINLEY PARK, IL 60487
Radiology (Diagnostic Radiology)
17495 LA GRANGE RD
TINLEY PARK, IL 60487

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Derungs's NPI number?

The NPI number for Kristin Derungs is 1588052385. It was assigned to this individual provider in the NPPES registry on December 31, 2014. The provider is also known as Kristin M Dileonarde Pa-C.

Where is Kristin Derungs located?

Kristin Derungs practices at 17495 La Grange Rd, Tinley Park, IL 60487. The listed phone number is (708) 226-7000.

What is Kristin Derungs's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kristin Derungs was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.