Healthcare Provider Details

I. General information

NPI: 1780592139
Provider Name (Legal Business Name): ALEXANDRU CROITORU FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N HALSTED ST STE 500
CHICAGO IL
60657-5194
US

IV. Provider business mailing address

945 E KENILWORTH AVE UNIT 102
PALATINE IL
60074-6446
US

V. Phone/Fax

Practice location:
  • Phone: 773-871-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.036504
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: