Provider Demographics
NPI:1386852705
Name:DROBAC, CHRISTINE L (PTA)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:DROBAC
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W WACKER DR
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1216
Mailing Address - Country:US
Mailing Address - Phone:312-640-0329
Mailing Address - Fax:
Practice Address - Street 1:333 W 89TH AVE
Practice Address - Street 2:SUITE W-1
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7073
Practice Address - Country:US
Practice Address - Phone:219-755-4448
Practice Address - Fax:217-755-4454
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06002306A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant