NPI Code Details Logo

NPI 1205264389

NPI 1205264389 : BRITT CHRISTENSEN M.D : CHICAGO, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205264389
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRITT CHRISTENSEN M.D
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/28/2013
-----------------------------------------------------
    Last Update Date     |    10/28/2013
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5841 S MARYLAND AVE ROOM S401 (MC4076)
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60637-1447
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    312-709-3575
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5841 S MARYLAND AVE ROOM S401 (MC4076)
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60637-1447
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    312-709-3575
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RG0100X
-----------------------------------------------------
    Taxonomy Name        |    Gastroenterology Physician
-----------------------------------------------------
    License Number       |    125064297
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.