Individual provider Active NPI

Christine L Anderson, M.D.

  • Obstetrics & Gynecology Physician
  • Oak Lawn, IL
National Provider Identifier
1740362482
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036078612 Issued in IL
Practice address
4225 W 95TH St
Oak Lawn, IL 60453-2623
Phone
(708) 423-2300
Fax
(708) 423-2318
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036078612 IL Primary

Addresses

Primary practice location

4225 W 95TH St
Oak Lawn, IL 60453-2623

Mailing address

4225 W 95TH St
Oak Lawn, IL 60453-2623
Phone (708) 423-2300

Other identifiers 2

IdentifierTypeStateIssuer
0479220001OtherILDMERC
036078612MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address canderson226739@direct.myadvocateaurora.org

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000575 IL Practitioner - Obstetrics/Gynecology 7012931553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19255 Everett LN
Suite D
Mokena, IL 60448-8870
Phone (708) 478-4872

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

9555 S 52ND Ave
Oak Lawn, IL 60453-3054
Phone (708) 634-0950

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince May 17, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 17, 2019 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

19255 Everett Ln
Ste D
Mokena, IL 60448
Phone (708) 478-4872

9555 S 52nd Ave
Ste E
Oak Lawn, IL 60453
Phone (708) 423-2300

4225 W 95th St
Oak Lawn, IL 60453
Phone (708) 423-2300

Organizations & group practices 2

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1740362482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532623",
            "telephone_number": "708-423-2300",
            "fax_number": "708-423-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532623",
            "telephone_number": "708-423-2300",
            "fax_number": "708-423-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036078612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0479220001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078612",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "canderson226739@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "9555 S 52nd Ave Ste E",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604533054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.