Basic Information
| Provider Information | |||||||||
| NPI: | 1275793713 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHRISTENSEN | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | AUDIOPROSTHOLOGIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | 240 COMMERCE DR | ||||||||
| Address2: | SUITE B | ||||||||
| City: | CRYSTAL LAKE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600143549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8154446800 | ||||||||
| FaxNumber: | 8154447690 | ||||||||
| Practice Location | |||||||||
| Address1: | 240 COMMERCE DR | ||||||||
| Address2: | SUITE B | ||||||||
| City: | CRYSTAL LAKE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600143549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8154446800 | ||||||||
| FaxNumber: | 8154447690 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2008 | ||||||||
| LastUpdateDate: | 06/09/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 1537 | IL | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.