Provider Demographics
NPI:1598955841
Name:GARN, CHRISTOPHER ALEXANDER (DC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ALEXANDER
Last Name:GARN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E MAIN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-2387
Mailing Address - Country:US
Mailing Address - Phone:630-377-7505
Mailing Address - Fax:630-377-7532
Practice Address - Street 1:1601 E MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2387
Practice Address - Country:US
Practice Address - Phone:630-377-7505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038 010382111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor