Healthcare Provider Details

I. General information

NPI: 1922479617
Provider Name (Legal Business Name): CHRISTOPHER LYNN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2280 HICKS RD STE 508
ROLLING MEADOWS IL
60008-1220
US

IV. Provider business mailing address

PO BOX 957885
HOFFMAN ESTATES IL
60195-7885
US

V. Phone/Fax

Practice location:
  • Phone: 847-371-5200
  • Fax: 847-947-6979
Mailing address:
  • Phone: 847-371-5200
  • Fax: 847-947-6979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277000605
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277000605
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: