MEDICARE: CHRISTINA GROTE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	277003966	IL

General Provider Information

NPI Number	:	1588100952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA GROTE APRN

Provider Business Mailing Address
First Line	:	20015 S LAGRANGE RD # 1019
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-3104
Country	:	US
Telephone Number	:	708-821-3923
Fax Number	:	478-202-9614

Provider Business Practice Location Address
First Line	:	700 E OGDEN AVE STE 202
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-1398
Country	:	US
Telephone Number	:	630-789-9785
Fax Number	:	630-789-9798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2017
Last Update Date	:	10/28/2025

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