Provider Demographics
NPI:1508020413
Name:CHEBNY, CHRISTIAN J (PT, DPT, SCS, ATC)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:J
Last Name:CHEBNY
Suffix:
Gender:M
Credentials:PT, DPT, SCS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 N IL ROUTE 83 STE 116
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-7928
Mailing Address - Country:US
Mailing Address - Phone:224-252-2999
Mailing Address - Fax:224-252-2105
Practice Address - Street 1:1860 N IL ROUTE 83 STE 116
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7928
Practice Address - Country:US
Practice Address - Phone:224-252-2999
Practice Address - Fax:224-252-2105
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070018484225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL070018484Medicaid