Provider Demographics
NPI:1154486983
Name:DURBIN, CHRISTINA D (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:D
Last Name:DURBIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 CIMMERON DR
Mailing Address - Street 2:
Mailing Address - City:EAST PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61611-7511
Mailing Address - Country:US
Mailing Address - Phone:309-688-4484
Mailing Address - Fax:309-688-4485
Practice Address - Street 1:350 CIMMERON DR
Practice Address - Street 2:
Practice Address - City:EAST PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61611-7511
Practice Address - Country:US
Practice Address - Phone:309-688-4484
Practice Address - Fax:309-688-4485
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1568658409OtherGROUP NPI
IL200489777OtherTAX ID
IL1154486983OtherINDIVIDUAL NPI CHRISTY DURBIN