Individual
CORINA CONSTANTINESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7054
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041366750
IL
363LF0000X
Family Nurse Practitioner
Primary
209.018223
IL
363LF0000X
Family Nurse Practitioner
9527-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363L00000X
—
IL
Enumeration date
08/21/2018
Last updated
06/06/2022
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