MEDICARE: DR. CHRISTINE STRANGE DO

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	207Q00000X	Family Medicine Physician	036.176295	IL
2	207Q00000X	Family Medicine Physician	81877-21	WI
3	207Q00000X	Family Medicine Physician	02005773A	IN

General Provider Information

NPI Number	:	1518459783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE STRANGE DO

Provider Business Mailing Address
First Line	:	1701 BLACKHAWK BLVD
Second Line	:
City	:	SOUTH BELOIT
State	:	IL
Zip	:	61080-2407
Country	:	US
Telephone Number	:	815-389-2268
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 BLACKHAWK BLVD
Second Line	:
City	:	SOUTH BELOIT
State	:	IL
Zip	:	61080-2407
Country	:	US
Telephone Number	:	815-389-2268
Fax Number	:

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

Provider Enumeration Date	:	06/04/2018
Last Update Date	:	10/11/2025

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