Christina L Andre, DO
Individual provider Active NPI Family Medicine Physician · Sycamore, IL
NPI 1831684729 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1831684729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036-158012 (IL)
- Practice address
- 1850 Gateway Dr Ste 103
Sycamore, IL 60178-3192 - Phone
- (815) 758-8671
- Fax
- (815) 756-4892
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Dupage Physician Group
Practice addresses (Care Compare)
1850 Gateway Dr
Suite 103
Sycamore, IL 60178-3192
Phone (815) 758-8671
Hospital & facility affiliations
- Absolute Home Wellness
- Northwestern Medicine Kishwaukee Hospital
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Delnor Community Hospital
- Valley West Community Hospital
- Northwestern Medicine McHenry
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210831000911 | IL | Practitioner - Family Practice | 0244636272 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current |
Accepting new patients | |
| Central Dupage Physician Group | Family Medicine | Current |
Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
1850 Gateway Dr
Ste 103
Sycamore, IL 60178
Phone (815) 758-8671
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- candre232493@direct.edward.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-158012 | IL | Yes |
Addresses
Primary practice location
1850 Gateway Dr Ste 103
Sycamore, IL 60178-3192
Mailing address
1850 Gateway Dr Ste 103
Sycamore, IL 60178-3192
Phone (815) 758-8671
Other practice location 1
220 Springfield Dr Ste 210
Bloomingdale, IL 60108-2215
Phone (630) 213-7788
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125.072714 | Other | IL | STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | candre232493@direct.edward.org |
Other providers in Sycamore, IL
- Hannah Jeanne Amundson
- Jackie Nicole Anderson
- Jessica R Anderson
- Kathy Ann Anderson
- Todd Mathew Anderson
- Andrews Chiropractic, LTD.
- David G Andrews
- Melissa L Andrews
- Amy Antczak
- Elizabeth Allyn Appel
All providers in Sycamore, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.