Individual
DR. CHRISTINE A DEFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
51 N 39TH ST, M01 MYRIN BASEMENT, PHILADELPHIA, PA 19104
(267) 588-6915
Mailing address
3001 N GREEN BAY RD, NORTH CHICAGO, IL 60064
(412) 973-3102
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB12688800
NJ
207P00000X
Emergency Medicine Physician
OS023866
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD0000
EMERGENCY MEDICINE
—
Enumeration date
06/09/2009
Last updated
09/02/2025
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