Christine Renee Birn, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.011084 Issued in IL

Practice address

500 Coventry LN Ste 170
Crystal Lake, IL 60014-7592

Phone

(815) 356-2700

NPI assigned

Aug 9, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centegra Primary Care LLC

  • Family Medicine Physician
  • Crystal Lake, IL
  • NPI 1356883599
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1124375001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W AUGUST LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600519785",
            "telephone_number": "815-347-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COVENTRY LN STE 170",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147592",
            "telephone_number": "815-356-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRN",
        "first_name": "CHRISTINE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Bidelman
• Lisa Bieze
• Susan J Bigham, CNP
• Valerie Bilins
• Livia Bir, PSY.D.
• William Peter Birong, L.C.S.W.
• Jason Bishop
• Emily Anne Bixler, RDN
• Krista Lynae Bjork, MABC
• Chance Black

• Speech-Language Pathologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.