Christensen, Joseph M

Christensen, Joseph M is an individual health care provider with primary practice located at 885 Roosevelt Rd , Glen Ellyn IL 60137-6141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Christensen, Joseph M 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
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036095913 Illinois

Profile Details

NPI number 1932121357
LBN Legal business name Christensen, Joseph M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 2nd, 2013 - about 12 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 1932121357 NPPES
Illinois Other 3631498336019001 CDPG HFS PAYEE ID
Illinois Other 487450010 CDPG HFS PAYEE ID
Illinois MEDICAID 036095913 CDPG HFS PAYEE ID
Illinois Other 0222075 CDPG HFS PAYEE ID
Illinois Other 363149833 CDPG HFS PAYEE ID

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