Provider Demographics
NPI:1598081812
Name:STEINKULLER, CHRISTEN (PAC)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:
Last Name:STEINKULLER
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23W230 ARMITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-2817
Mailing Address - Country:US
Mailing Address - Phone:630-217-7087
Mailing Address - Fax:
Practice Address - Street 1:23W230 ARMITAGE AVE
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-2817
Practice Address - Country:US
Practice Address - Phone:630-217-7087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant