Basic Information
| Provider Information | |||||||||
| NPI: | 1033569264 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VOLKENING | ||||||||
| FirstName: | CHRISTINA | ||||||||
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| Credential: | MSN, CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 907 VALLEY STREAM DR | ||||||||
| Address2: | |||||||||
| City: | PINGREE GROVE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601409135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8478452029 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2233 W DIVISION ST | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606228151 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3127702000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2016 | ||||||||
| LastUpdateDate: | 06/19/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.