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General NPI Number Information
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NPI Number | 1891979399
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Entity Type | Organization
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Legal Business Name | CHRISTENSEN & SONS, LLC
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 11225 FRONT STREET SUITE 11
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City | MOKENA
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State | IL
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Zip | 60448
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Country | US
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Telephone | 773-758-9242
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Fax |
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Provider Business Mailing Address
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Address Line | 3314 TIMBERS EDGE CIRCLE
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City | JOLIET
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State | IL
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Zip | 60431
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Country | US
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Telephone | 773-758-9242
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Fax |
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Authorized Official
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Title or Position | MANAGER/PRES
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Name | ERIK CHRISTENSEN
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Credential | LSW
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Telephone | 773-758-3364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149-012322
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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