Individual provider Active NPI

Christine Look, PHD

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1376641225
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009909 Issued in IL
Practice address
1103 Westgate St Ste 200
Oak Park, IL 60301-1022
Phone
(614) 745-9536
NPI assigned
Sep 21, 2006
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5772 OH
Clinical Psychologist 103TC0700X 071009909 IL Primary

Addresses

Primary practice location

1103 Westgate St Ste 200
Oak Park, IL 60301-1022

Mailing address

424 Washington Blvd Apt 3E
Oak Park, IL 60302-4077
Phone (614) 745-9536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922003342 IL Practitioner - Clinical Psychologist 5890910418 Reassigns benefits to 2 organizations
Practice locations: Oak Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1103 Westgate St
Suite 200
Oak Park, IL 60301-1022
Phone (708) 966-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071009909ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Look Psychological Services Clinical CurrentSince Feb 8, 2017 Accepting new patients
Edgewood Clinical Services, P.C. Psychologist CurrentSince Sep 1, 2023 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients
John M. Showalter Dba Consulting Psychological Services Clinical Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

3027 English Rows Ave
Ste 201
Naperville, IL 60564

1010 Lake St
Ste 110
Oak Park, IL 60301
Phone (331) 529-7413

1103 Westgate St
Ste 200
Oak Park, IL 60301
Phone (708) 383-7610

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1376641225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WASHINGTON BLVD APT 3E",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024077",
            "telephone_number": "614-745-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WESTGATE ST STE 200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011022",
            "telephone_number": "614-745-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOK",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-08-24",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5772",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.