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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043300767 NPPES
Wisconsin MEDICAID 43025400

Popular Providers