Christie Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

209015481 Issued in IL

Legal business name

CHRISTIE CLINIC

Practice address

611 Luria LN
Champaign, IL 61822-1108

Phone

(217) 979-7228

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Sheena Eisen H Adrados, MSN, FNP-BC

Title

Apn

Phone

(217) 979-7228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1699214999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LURIA LN",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LURIA LN",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221108",
            "telephone_number": "217-979-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "ADRADOS",
        "authorized_official_first_name": "SHEENA EISEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "217-979-7228",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "209015481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip M. Chmielewski, L.C.P.C.
• Archana Chopra, M.D
• Doriece Choy, LCSW
• Caroline Caitlin Christian, LCPC
• Samantha Christianson
• Christie Clinic Amblatory Surgery Center LLC
• Christie Clinic Pathology LLC
• Christie Clinic, PLLC
• Christie Clinic, PLLC
• Christie Clinic, PLLC

• Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.