MEDICARE: MS. CHRISTINE MARGARET ABT APN, CS.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0812X	Community Psychiatric/Mental Health Clinical Nurse Specialist	209-004215	IL

General Provider Information

NPI Number	:	1073546016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE MARGARET ABT APN, CS.

Provider Business Mailing Address
First Line	:	385 WIRTZ RD
Second Line	:	HEALTH SERVICES
City	:	DEKALB
State	:	IL
Zip	:	60115
Country	:	US
Telephone Number	:	815-753-1311
Fax Number	:

Provider Business Practice Location Address
First Line	:	ADVANCE PSYCHIATRY AND COUNSELING
Second Line	:	BILLING DEPT. 5973
City	:	CAROL STREAM
State	:	IL
Zip	:	60122-0001
Country	:	US
Telephone Number	:	630-855-2614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	04/24/2015

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