Individual provider Active NPI

Kristine Sevilla, PHARMD

  • Independent Medical Examiner Physician
  • Schaumburg, IL
National Provider Identifier
1295574176
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
License
051.298796 Issued in IL
Practice address
9 Commerce Dr
Schaumburg, IL 60173-5302
Phone
(855) 237-9112
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Physician 202C00000X 051.298796 IL Primary

Addresses

Primary practice location

9 Commerce Dr
Schaumburg, IL 60173-5302

Mailing address

9 Commerce Dr
Schaumburg, IL 60173-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051.298796ILMDIndependent Medical Examiner Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1295574176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COMMERCE DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COMMERCE DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735302",
            "telephone_number": "855-237-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "KRISTINE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "IL",
            "license": "051.298796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.