Provider Demographics
NPI:1518020262
Name:BELMONTE, CRISTI ANNE (MS)
Entity Type:Individual
Prefix:
First Name:CRISTI
Middle Name:ANNE
Last Name:BELMONTE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 853
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-0853
Mailing Address - Country:US
Mailing Address - Phone:630-567-9390
Mailing Address - Fax:
Practice Address - Street 1:520 E OGDEN AVE STE 4
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3255
Practice Address - Country:US
Practice Address - Phone:630-567-9390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166000553106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232116OtherBCBS IL PROVIDER NUMBER