Healthcare Provider Details

I. General information

NPI: 1568890242
Provider Name (Legal Business Name): CHRISTINA NYREE HARMON M.S.W., L.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA NYREE FRENCH M.S.W., L.C.S.W.

II. Dates (important events)

Enumeration Date: 10/16/2013
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 ROHLWING RD
ELK GROVE VILLAGE IL
60007-3217
US

IV. Provider business mailing address

3411 N KENNICOTT AVE STE C
ARLINGTON HEIGHTS IL
60004-7813
US

V. Phone/Fax

Practice location:
  • Phone: 847-524-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150010544
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.017814
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: