Northern, Christopher M
Northern, Christopher M is an individual health care provider with primary practice located at 360 Station Dr , Crystal Lake IL 60014-7978. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Northern, Christopher M can be contacted via phone (815) 356-2330.Contact Information
Primary practice address
360 Station Dr
Crystal Lake IL 60014-7978
Phone: (815) 356-2330
Fax: (815) 477-9826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 1898-023 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1898-023 | Wisconsin |
Profile Details
| NPI number | 1043300767 |
|---|---|
| LBN Legal business name | Northern, Christopher M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Feb 2nd, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043300767 | NPPES |
| Wisconsin | MEDICAID | 43025400 |
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