Provider Demographics
NPI:1750608956
Name:CRISTIANO, CHEZ FRANCIS (PSYD)
Entity type:Individual
Prefix:MR
First Name:CHEZ
Middle Name:FRANCIS
Last Name:CRISTIANO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E. RANDOLPH STREET
Mailing Address - Street 2:STE 5100
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601
Mailing Address - Country:US
Mailing Address - Phone:646-650-5262
Mailing Address - Fax:
Practice Address - Street 1:200 E. RANDOLPH STREET
Practice Address - Street 2:STE 5100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601
Practice Address - Country:US
Practice Address - Phone:646-650-5262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2024-05-03
Deactivation Date:2020-10-02
Deactivation Code:
Reactivation Date:2021-04-20
Provider Licenses
StateLicense IDTaxonomies
IL071.011197103TC0700X
CA25716103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical