Eastburn, Christa

Eastburn, Christa is an individual health care provider with primary practice located at 30 N Michigan Ave Ste 424 , Chicago IL 60602-3844. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Eastburn, Christa can be contacted via phone (312) 279-9981.

Contact Information

Primary practice address
30 N Michigan Ave Ste 424 Chicago IL 60602-3844
Phone: (312) 279-9981
Fax: (312) 279-9981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37790 Illinois

Profile Details

NPI number 1275130452
LBN Legal business name Eastburn, Christa
Credentials BS, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2020
Last updated Jan 17th, 2023 - about 3 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 1275130452 NPPES
Illinois Other 37790 ILLINOIS CERTIFICATION BOARD, INC

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