Healthcare Provider Details

I. General information

NPI: 1740087907
Provider Name (Legal Business Name): CHRISTOPHER K HOKANSON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10604 SOUTHWEST HWY STE 101
CHICAGO RIDGE IL
60415-2704
US

IV. Provider business mailing address

10604 SOUTHWEST HWY STE 101
CHICAGO RIDGE IL
60415-2704
US

V. Phone/Fax

Practice location:
  • Phone: 708-346-4065
  • Fax: 708-423-5799
Mailing address:
  • Phone: 708-346-4065
  • Fax: 708-423-5799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085.012028
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: