Provider Demographics
NPI:1437269289
Name:HIGGINS, CHRISTOPHER JAMES (PSYD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14412 S 85TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-2823
Mailing Address - Country:US
Mailing Address - Phone:708-349-6728
Mailing Address - Fax:
Practice Address - Street 1:13011 S 104TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-1500
Practice Address - Country:US
Practice Address - Phone:708-448-3300
Practice Address - Fax:708-448-6072
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071004443103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01623882OtherBCBS
IL01623882OtherBCBS