Healthcare Provider Details

I. General information

NPI: 1235012519
Provider Name (Legal Business Name): CHRISTINA LYNN SCHABLE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA LENARDSON APRN

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N EDWARD ST
DECATUR IL
62526-4163
US

IV. Provider business mailing address

2300 N EDWARD ST
DECATUR IL
62526-4163
US

V. Phone/Fax

Practice location:
  • Phone: 217-876-4200
  • Fax: 217-876-4209
Mailing address:
  • Phone: 217-876-4200
  • Fax: 217-876-4209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number209032586
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209032586
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: