Provider Demographics
NPI:1346827151
Name:FRUGOLI, CHRISTINA M (FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:FRUGOLI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 S MICHIGAN AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-3205
Mailing Address - Country:US
Mailing Address - Phone:312-977-1188
Mailing Address - Fax:312-977-1188
Practice Address - Street 1:30 S MICHIGAN AVE STE 500
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3205
Practice Address - Country:US
Practice Address - Phone:312-977-1188
Practice Address - Fax:312-977-1185
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILF03211291363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily