Individual provider · Type 1 NPI

Kristie Jo Hittle, MA, ATC, LAT

Specialist · River Forest, IL

NPI number 1104886464 Active

Practice location

7400 Augusta St
River Forest, IL 60305-1402

Fax (708) 209-3154

Mailing address

911 S Country Ln
Mount Prospect, IL 60056-4234

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104886464

Kristie Jo Hittle, MA, ATC, LAT's National Provider Identifier is 1104886464, issued on Mar 23, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in River Forest, IL. The record was last updated on Jul 13, 2026.