Provider Demographics
NPI:1891979399
Name:CHRISTENSEN & SONS, LLC
Entity Type:Organization
Organization Name:CHRISTENSEN & SONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PRES
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:773-758-3364
Mailing Address - Street 1:3314 TIMBERS EDGE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60431
Mailing Address - Country:US
Mailing Address - Phone:773-758-9242
Mailing Address - Fax:
Practice Address - Street 1:11225 FRONT STREET
Practice Address - Street 2:SUITE 11
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448
Practice Address - Country:US
Practice Address - Phone:773-758-9242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTENSEN & SONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-20
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
IL149-0123221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty