Healthcare Provider Details

I. General information

NPI: 1588100952
Provider Name (Legal Business Name): CHRISTINA GROTE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E OGDEN AVE STE 202
WESTMONT IL
60559-1398
US

IV. Provider business mailing address

20015 S LAGRANGE RD # 1019
FRANKFORT IL
60423-3104
US

V. Phone/Fax

Practice location:
  • Phone: 630-789-9785
  • Fax: 630-789-9798
Mailing address:
  • Phone: 708-821-3923
  • Fax: 478-202-9614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209015315
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number277003966
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: