Individual provider · Type 1 NPI

Kristina Marie Halley, PA-C

Surgical Physician Assistant · Skokie, IL

NPI number 1013358282 Active

Practice location

9650 Gross Point Rd Ste 3900
Skokie, IL 60076-5085

Mailing address

2650 Ridge Ave Ste 122
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085004716 (IL)
Physician Assistant 363A00000X085004716 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1013358282

Kristina Marie Halley, PA-C's National Provider Identifier is 1013358282, issued on Jul 16, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Skokie, IL. The record was last updated on Mar 18, 2026.