Active NPI
Christina Dolores Rotolo
- Behavior Technician
- Oak Brook, IL
National Provider Identifier
1265248777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-396319
- Practice address
- 814 Commerce Dr
Oak Brook, IL 60523-1965 - Phone
- (630) 526-4170
- NPI assigned
- Dec 9, 2024
- Last updated
- Dec 9, 2024
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-396319 | IL | Primary |
Addresses
Primary practice location
814 Commerce Dr
Oak Brook, IL 60523-1965
Mailing address
6005 Flagg Creek LN
Western Springs, IL 60558-5035
Phone (630) 484-5608
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-396319 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1265248777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 FLAGG CREEK LN",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605585035",
"telephone_number": "630-484-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 COMMERCE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231965",
"telephone_number": "630-526-4170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTOLO",
"first_name": "CHRISTINA",
"middle_name": "DOLORES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-24-396319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.