James Mark Christian, M. DIV., L.C.P.C.
Individual provider Active NPI Professional Counselor · Oak Forest, IL
NPI 1508970153 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508970153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 6006 W. 159 Street
Oak Forest, IL 60452 - Phone
- (708) 535-7320
- Fax
- (708) 535-7571
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-002426 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Genesis Therapy Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Yes |
Addresses
Primary practice location
6006 W. 159 Street
Oak Forest, IL 60452
Mailing address
9154 S Damen Ave
Chicago, IL 60620-5508
Other providers in Oak Forest, IL
- Chicagoland Early Intervention LTD
- Chicmed Transportion &Logistics, LLC
- Sophia Y Chin
- Chiro One Wellness Center of Oak Forest LLC
- Christian Community Health Center
- Daniel Ciezobka
- City of Oak Forest
- Cheri A Clarke
- Cole Vision Corporation
- Continuum Foot & Ankle Medical & Surgical Center LTD.
All providers in Oak Forest, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.