KRISTINA MARIA BOUROS (PSYD) – Psychologist, NPI 1164909156
Psychologist
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NPPES metrics only — not quality of care.
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Provider Addresses for KRISTINA MARIA BOUROS (PSYD)
PO BOX 713260
CHICAGO, IL 606770264
Phone: (630) 469-9200
Type: Mailing
8828, 97th Place, Palos Hills, Palos Township, Cook County, Illinois, 60465, United States
PALOS HILLS, IL 604651015
Phone:
Type: Mailing
Riveredge Hospital, 8311, Roosevelt Road, Forest Park, Proviso Township, Cook County, Illinois, 60130, United States
FOREST PARK, IL 601302529
Phone: (708) 771-7000
Type: Location
1860 PAYSHERE CIRCLE
CHICAGO, IL 606740264
Phone: (630) 469-9200
Type: Mailing
1239 WINDHAM PKWY
ROMEOVILLE, IL 604461608
Phone: (815) 942-6323
Fax: (779) 210-5541
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191213001833 | I | Clinical Psychologist | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60677)
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Group practice members
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