Christina Helen Repka, RSA
Individual provider Active NPI Surgical Physician Assistant · Manhattan, IL
NPI 1992911341 · NPPES record last updated Dec 30, 2013
Key facts
- NPI
- 1992911341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 238.000096 (IL)
- Practice address
- 24427 Arrowhead Dr
Manhattan, IL 60442-1452 - Phone
- (815) 278-2630
- Fax
- (815) 478-3167
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 238.000096 | IL | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 238.000096 | IL | Yes |
Addresses
Primary practice location
24427 Arrowhead Dr
Manhattan, IL 60442-1452
Mailing address
24427 Arrowhead Dr
Manhattan, IL 60442-1452
Phone (815) 278-2630
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9932724 | Other | IL | BCBS |
Other providers in Manhattan, IL
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- Lindsey B Rector
- Lisa M Reh
- Grace Richards
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- Tammy Frances Sangmeister
- Nichole Schmidt
- Jennifer Schmitt
All providers in Manhattan, IL · Surgical Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2013. 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.