Provider Demographics
NPI:1356010342
Name:DREFFEIN, CHRISTINA ASHLEY (AUD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ASHLEY
Last Name:DREFFEIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:ASHLEY
Other - Last Name:DREFFEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4928 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2504
Mailing Address - Country:US
Mailing Address - Phone:708-424-0143
Mailing Address - Fax:
Practice Address - Street 1:4928 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2504
Practice Address - Country:US
Practice Address - Phone:708-424-0143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001849237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter