Provider Demographics
NPI:1275793713
Name:CHRISTENSEN, FRANK R (AUDIOPROSTHOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:R
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:AUDIOPROSTHOLOGIST
Other - Prefix:
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Mailing Address - Street 1:240 COMMERCE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-3549
Mailing Address - Country:US
Mailing Address - Phone:815-444-6800
Mailing Address - Fax:815-444-7690
Practice Address - Street 1:240 COMMERCE DR
Practice Address - Street 2:SUITE B
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3549
Practice Address - Country:US
Practice Address - Phone:815-444-6800
Practice Address - Fax:815-444-7690
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL1537237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist