Healthcare Provider Details

I. General information

NPI: 1043124845
Provider Name (Legal Business Name): CHRISTINA TARGIA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 E BOUGHTON RD STE 230
BOLINGBROOK IL
60440-2402
US

IV. Provider business mailing address

550 E BOUGHTON RD STE 230
BOLINGBROOK IL
60440-2402
US

V. Phone/Fax

Practice location:
  • Phone: 630-739-1791
  • Fax: 630-739-5871
Mailing address:
  • Phone: 630-739-1791
  • Fax: 630-739-5871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.024537
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: