Provider Demographics
NPI:1184677114
Name:SZYCHLINSKI, CHRISTINE (APN CPNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SZYCHLINSKI
Suffix:
Gender:F
Credentials:APN CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 CHILDRENS PL
Mailing Address - Street 2:#60
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614
Mailing Address - Country:US
Mailing Address - Phone:312-227-6010
Mailing Address - Fax:312-227-9401
Practice Address - Street 1:2515 CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614
Practice Address - Country:US
Practice Address - Phone:312-227-6010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2090023172080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q58108Medicare UPIN
ILK23157Medicare ID - Type Unspecified