Christensen, Mary J

Christensen, Mary J is an individual health care provider with primary practice located at 885 Roosevelt Rd , Glen Ellyn IL 60137-6141. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Christensen, Mary J can be contacted via phone (630) 790-1555.

Contact Information

Primary practice address
885 Roosevelt Rd Glen Ellyn IL 60137-6141
Phone: (630) 790-1555
Fax: (630) 545-3787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209.005290 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209005290 Illinois

Profile Details

NPI number 1770634842
LBN Legal business name Christensen, Mary J
Credentials M.S.N., A.P.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Apr 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770634842 NPPES
Illinois Other 920540030 MEDICARE PTAN (INDIVIDUAL)
Illinois Other 920540 MEDICARE PTAN (INDIVIDUAL)

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