Active NPI
Christine Louise Loomis, M.A.ED
- Developmental Therapist
- Tinley Park, IL
National Provider Identifier
1487872073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- CL99000803P
- Practice address
- 6825 Kingston Rd
Tinley Park, IL 60477-1737 - Phone
- (708) 404-5765
- NPI assigned
- Apr 22, 2007
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | CL99000803P | IL | Primary |
Addresses
Primary practice location
6825 Kingston Rd
Tinley Park, IL 60477-1737
Mailing address
6825 Kingston Rd
Tinley Park, IL 60477-1737
Phone (708) 404-5765
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 |
|---|---|---|---|
| CL99000803P | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487872073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6825 KINGSTON RD",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771737",
"telephone_number": "708-404-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 KINGSTON RD",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771737",
"telephone_number": "708-404-5765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "CHRISTINE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "M.A.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "CL99000803P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.