Healthcare Provider Details

I. General information

NPI: 1740107606
Provider Name (Legal Business Name): CHRISTINE VIGNEAU REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 E JANATA BLVD STE 245
LOMBARD IL
60148-5382
US

IV. Provider business mailing address

246 E JANATA BLVD STE 245
LOMBARD IL
60148-5382
US

V. Phone/Fax

Practice location:
  • Phone: 604-491-2861
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRN9561861
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: