Active NPI
Cristina Marino Gonzales, R.N.
- Driver
- Mount Prospect, IL
National Provider Identifier
1487778619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- DO7106328
- Practice address
- 1022 N Boxwood Dr
Mt Prospect, IL 60056-1204 - Phone
- (847) 707-4137
- Fax
- (847) 368-7889
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | DO7106328 | IL | Primary |
Addresses
Primary practice location
1022 N Boxwood Dr
Mt Prospect, IL 60056-1204
Mailing address
1022 N Boxwood Dr
Mt Prospect, IL 60056-1204
Phone (847) 707-4137
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO7106328 | IL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487778619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 N BOXWOOD DR",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600561204",
"telephone_number": "847-707-4137",
"fax_number": "847-368-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 N BOXWOOD DR",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600561204",
"telephone_number": "847-707-4137",
"fax_number": "847-368-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "CRISTINA",
"middle_name": "MARINO",
"name_prefix": "Miss",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "DO7106328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.