Provider Demographics
NPI:1649950288
Name:NORTON, CHRISTINE GRIFFIN (LSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:GRIFFIN
Last Name:NORTON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:KENILWORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60043-1260
Mailing Address - Country:US
Mailing Address - Phone:312-343-1366
Mailing Address - Fax:
Practice Address - Street 1:222 OXFORD RD
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:IL
Practice Address - Zip Code:60043-1260
Practice Address - Country:US
Practice Address - Phone:312-343-1366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.0068861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical