Active NPI
Christina Vera Floreani
- Psychiatry Physician
- Lombard, IL
National Provider Identifier
1629363270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.133797
- Practice address
- 420 S Ahrens Ave
Lombard, IL 60148-3006 - Phone
- (773) 916-7595
- Fax
- (866) 339-5811
- NPI assigned
- Jun 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.133797 | IL | Primary |
Addresses
Primary practice location
420 S Ahrens Ave
Lombard, IL 60148-3006
Mailing address
108 S East Ave
Apt 3
Oak Park, IL 60302-2983
Phone (773) 614-2032
Other practice location 1
403 E 1st St
Dixon, IL 61021-3116
Phone (815) 285-5638
Other practice location 2
1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400392146 | Other | IL | MEDICARE |
| 036133797 | Medicaid | IL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.133797 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Psychiatry PLLC | Psychiatry | Current | Accepting new patients |
| In Touch Physicians, LLC | Psychiatry | Past | Accepting new patients |
| KSB Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Austin, TX
- NPI 1780529420
-
- Psychiatry Physician
- Lombard, IL
- NPI 1952721698
-
- Family Medicine Physician
- Dixon, IL
- NPI 1073592119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1629363270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S EAST AVE",
"address_2": "APT 3",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022983",
"telephone_number": "773-614-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S AHRENS AVE",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601483006",
"telephone_number": "773-916-7595",
"fax_number": "866-339-5811"
}
],
"practiceLocations": [
{
"address_1": "403 E 1st St",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "610213116",
"country_code": "US",
"telephone_number": "815-285-5638",
"fax_number": "815-285-5850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "866-600-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLOREANI",
"first_name": "CHRISTINA",
"middle_name": "VERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-12",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.133797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "F400392146",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036133797",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.