Provider Demographics
NPI:1427442185
Name:AGUILERA-ESTRADA, ANA CRISTINA (RESPIRATORYTHERAPIST)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:CRISTINA
Last Name:AGUILERA-ESTRADA
Suffix:
Gender:F
Credentials:RESPIRATORYTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 S AUSTIN BLVD
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-1604
Mailing Address - Country:US
Mailing Address - Phone:708-306-0149
Mailing Address - Fax:
Practice Address - Street 1:1504 S AUSTIN BLVD
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-1604
Practice Address - Country:US
Practice Address - Phone:708-306-0149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL194.009716227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered