Healthcare Provider Details

I. General information

NPI: 1962311597
Provider Name (Legal Business Name): CRISTINA FALAK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 W MOFFAT ST
CHICAGO IL
60647-5517
US

IV. Provider business mailing address

2018 W MOFFAT ST
CHICAGO IL
60647-5517
US

V. Phone/Fax

Practice location:
  • Phone: 872-257-4695
  • Fax:
Mailing address:
  • Phone: 872-257-4695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: