Individual
CHRISTEN L LOUDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
110 W WOODSTOCK ST STE A, CRYSTAL LAKE, IL 60014-4239
(815) 893-9075
Mailing address
110 W WOODSTOCK ST STE A, CRYSTAL LAKE, IL 60014-4239
(815) 893-9075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.015167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL6237019
MEDICARE
IL
01
—
IL6238019
MEDICARE
IL
01
—
IL6697009
MEDICARE
IL
Enumeration date
05/15/2007
Last updated
03/24/2023
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