Provider Demographics
NPI:1700094091
Name:KROMKOWSKI, CHRISTINA ROSE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ROSE
Last Name:KROMKOWSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3728 N JANSSEN AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-4232
Mailing Address - Country:US
Mailing Address - Phone:773-868-6450
Mailing Address - Fax:
Practice Address - Street 1:233 S WACKER DR
Practice Address - Street 2:SEARS TOWER LL1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-6306
Practice Address - Country:US
Practice Address - Phone:312-993-0800
Practice Address - Fax:312-993-9140
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist