Christina R Bach, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209-033833 Issued in IL

Practice address

36100 N Brookside Dr Ste 106
Gurnee, IL 60031-4572

Phone

(847) 618-1000

NPI assigned

Jul 13, 2006

Last updated

Feb 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1396760732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25452 W CHESNEY DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469714",
            "telephone_number": "847-356-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 N BROOKSIDE DR STE 106",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314572",
            "telephone_number": "847-618-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "CHRISTINA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-033833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bibiana Aulenta, PHARMD
• Neal Richard G Austria, ATC
• Nuha Awad, PHARMD
• Rachel P Azriel, MD
• B H Adelson & W Ghantous PTR North Suburban Nephrologists
• Back 2 Health Inc.
• William L Bacon, DDS
• Edward Badal Badal, M.D.
• Jalal S Baig, M.D.
• Elizabeth Anne Baker, MD

• Adult Health Nurse Practitioner in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.