Cristina Marino Gonzales, R.N.
Individual provider Active NPI Driver · Mt Prospect, IL
NPI 1487778619 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487778619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- DO7106328 (IL)
- Practice address
- 1022 N Boxwood Dr
Mt Prospect, IL 60056-1204 - Phone
- (847) 707-4137
- Fax
- (847) 368-7889
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO7106328 | IL | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | DO7106328 | IL | Yes |
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
Other providers in Mt Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.