Active NPI
Christine Dagenais, PTA
- Specialist
- Wheaton, IL
National Provider Identifier
1790948107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 160000127
- Practice address
- 27W701 Swan Lake Dr
Wheaton, IL 60187-6008 - Phone
- (630) 260-9345
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 160000127 | IL | Primary |
Addresses
Primary practice location
27W701 Swan Lake Dr
Wheaton, IL 60187-6008
Mailing address
27W701 Swan Lake Dr
Wheaton, IL 60187-6008
Phone (630) 260-9345
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 |
|---|---|---|---|
| 160000127 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1790948107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27W701 SWAN LAKE DR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601876008",
"telephone_number": "630-260-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27W701 SWAN LAKE DR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601876008",
"telephone_number": "630-260-9345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGENAIS",
"first_name": "CHRISTINE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "160000127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.