Active NPI
Kristin Chenille Escobar Alvarenga, MD
- Forensic Pathology Physician
- Chicago, IL
National Provider Identifier
1801501515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 03613392
- Practice address
- 3513 W McLean Ave
Chicago, IL 60647-3630 - Phone
- (832) 567-3236
- NPI assigned
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 03613392 | IL | Primary |
Addresses
Primary practice location
3513 W McLean Ave
Chicago, IL 60647-3630
Mailing address
3513 W McLean Ave
Chicago, IL 60647-3630
Phone (832) 567-3236
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | forensicpatho.com | Other |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03613392 | IL | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1801501515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3513 W MCLEAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473630",
"telephone_number": "832-567-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3513 W MCLEAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473630",
"telephone_number": "832-567-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR ALVARENGA",
"first_name": "KRISTIN",
"middle_name": "CHENILLE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Forensic Pathology",
"state": "IL",
"license": "03613392",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "forensicpatho.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "none",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "none",
"address_1": "3513 W McLean Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606473630",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.