Provider Demographics
NPI:1427589613
Name:DEFILIPPIS, CHRISTINA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:DEFILIPPIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:ABELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PEL
Mailing Address - Street 1:8055 N PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-2742
Mailing Address - Country:US
Mailing Address - Phone:847-736-3881
Mailing Address - Fax:
Practice Address - Street 1:8055 N PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-2742
Practice Address - Country:US
Practice Address - Phone:847-736-3881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490169191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical