Provider Demographics
NPI:1154679322
Name:LINDSEY, CHRISTOPHER WILLIAM (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:WILLIAM
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 E ROOSEVELT RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-3918
Mailing Address - Country:US
Mailing Address - Phone:630-876-9186
Mailing Address - Fax:630-876-9187
Practice Address - Street 1:440 E ROOSEVELT RD
Practice Address - Street 2:SUITE 104
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-3918
Practice Address - Country:US
Practice Address - Phone:630-876-9186
Practice Address - Fax:630-876-9187
Is Sole Proprietor?:No
Enumeration Date:2012-08-20
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070019165225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist