Provider Demographics
NPI:1598862492
Name:JOSEPH, CHRISTOPHER JAMES (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MS, ATC
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Mailing Address - Street 1:648 STERLING CT
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-8279
Mailing Address - Country:US
Mailing Address - Phone:410-937-8405
Mailing Address - Fax:
Practice Address - Street 1:1525 W LINCOLN HWY
Practice Address - Street 2:CONVOCATION CENTER
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-3989
Practice Address - Country:US
Practice Address - Phone:815-753-1624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-08-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer