Provider Demographics
NPI:1801192000
Name:MCGILL, CHRISTINA ANNA MARIE (CPNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANNA MARIE
Last Name:MCGILL
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10329 CENTRAL PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-8187
Mailing Address - Country:US
Mailing Address - Phone:224-628-2393
Mailing Address - Fax:
Practice Address - Street 1:3040 W SALT CREEK LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1069
Practice Address - Country:US
Practice Address - Phone:847-483-7043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209007974363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics