Provider Demographics
NPI:1538371828
Name:LAGROSA, CRISTINA NATIVIDAD (RN)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:NATIVIDAD
Last Name:LAGROSA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 SHEEHAN DR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4894
Mailing Address - Country:US
Mailing Address - Phone:630-718-1201
Mailing Address - Fax:
Practice Address - Street 1:2403 SHEEHAN DR UNIT 201
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4894
Practice Address - Country:US
Practice Address - Phone:630-718-1201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital