Active NPI
Faith McChristen
- Occupational Therapist
- Palos Park, IL
National Provider Identifier
1407579147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056010844
- Practice address
- 10300 Village Circle Dr
Palos Park, IL 60464-3541 - Phone
- (708) 361-3683
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056010844 | IL | Primary |
Addresses
Primary practice location
10300 Village Circle Dr
Palos Park, IL 60464-3541
Mailing address
16425 Club CT
Crest Hill, IL 60403-1547
Phone (708) 969-4202
Other practice location 1
605 Edward Dr
Romeoville, IL 60446-6507
Phone (815) 439-2033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056010844 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1407579147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16425 CLUB CT",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604031547",
"telephone_number": "708-969-4202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 VILLAGE CIRCLE DR",
"city": "PALOS PARK",
"state": "IL",
"postal_code": "604643541",
"telephone_number": "708-361-3683"
}
],
"practiceLocations": [
{
"address_1": "605 Edward Dr",
"address_purpose": "LOCATION",
"city": "Romeoville",
"state": "IL",
"postal_code": "604466507",
"country_code": "US",
"telephone_number": "815-439-2033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCHRISTEN",
"first_name": "FAITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056010844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.