Provider Demographics
NPI:1366228199
Name:ROSZKOWSKI, CHRISTINA MARIE (ATS)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:ROSZKOWSKI
Suffix:
Gender:F
Credentials:ATS
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:ROSZKOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ATS
Mailing Address - Street 1:1100 ALANN DR
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-3827
Mailing Address - Country:US
Mailing Address - Phone:630-386-7298
Mailing Address - Fax:
Practice Address - Street 1:347 S GLADSTONE AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-4892
Practice Address - Country:US
Practice Address - Phone:630-892-6431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program