Active NPI
Cristina S Brotea M D SC
- Family Medicine Physician
- Aurora, IL
National Provider Identifier
1568586733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CRISTINA S BROTEA M D SC
- Practice address
- 1300 N Highland Ave
Aurora, IL 60506-1451 - Phone
- (630) 301-7595
- Fax
- (630) 301-7595
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristina S. Brotea, M.D.
- Title
- President
- Phone
- (630) 301-7595
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
1300 N Highland Ave
Aurora, IL 60506-1451
Mailing address
4107 Easy Cir
Naperville, IL 60564-4431
Phone (630) 301-7595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 N Highland Ave
Ste 9
Aurora, IL 60506
Phone (630) 264-2880
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185235200000",
"number": "1568586733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 EASY CIR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605644431",
"telephone_number": "630-301-7595",
"fax_number": "630-301-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061451",
"telephone_number": "630-301-7595",
"fax_number": "630-301-7595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRISTINA S BROTEA M D SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-24",
"status": "A",
"authorized_official_last_name": "BROTEA",
"authorized_official_first_name": "CRISTINA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-301-7595",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.