NPI 1043300767

Christopher M Northern, PA

Practitioner Physician Assistant Crystal Lake, IL

Practice location

Address: 360 Station Dr, Crystal Lake, IL 60014-7978
Phone: (815) 356-2330
Fax: (815) 477-9826
Mailing address: 360 Station Dr, Crystal Lake, IL 60012

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1898-023 (WI)

Other Physician Assistant providers in Illinois →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 1898-023 (WI)

Other Emergency Medicine providers in Illinois →

Registry record

NPI: 1043300767
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2006
Record last updated: 2 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.