Eduardo Mauricio Cristiano-Hernandez

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178020780 Issued in IL

Practice address

700 N Green St
Chicago, IL 60642-5996

Phone

(773) 234-9259

NPI assigned

Aug 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waterford Counseling and Psychological Services, PC

  • Clinical Psychologist
  • Aurora, IL
  • NPI 1104250067

  Professional

  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1548044589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W BELDEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472801",
            "telephone_number": "773-988-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N GREEN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425996",
            "telephone_number": "773-234-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTIANO-HERNANDEZ",
        "first_name": "EDUARDO",
        "middle_name": "MAURICIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178020780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bettina Cariaga Crisostomo, D.M.D.
• Meghan Marie Crisp
• Kelli Crispo
• Caitlin Crissey
• Lisa Cristia, LMT
• Chez Francis Cristiano, PSY.D.
• Cristina D Floro DMD PC
• Michael Cristofano, PA-C
• Lajuan Criswell, OTR/L
• Margaret Criswell

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.