Provider Demographics
NPI:1376029603
Name:RESTAINO, CRISTINA ADRIANA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:CRISTINA
Middle Name:ADRIANA
Last Name:RESTAINO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 INVERNESS LN
Mailing Address - Street 2:
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-2824
Mailing Address - Country:US
Mailing Address - Phone:630-310-9194
Mailing Address - Fax:
Practice Address - Street 1:1185 INVERNESS LN
Practice Address - Street 2:
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-2824
Practice Address - Country:US
Practice Address - Phone:630-310-9194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.014286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist