Individual
CHRISTINA SHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 N OAK PARK AVE STE 123, OAK PARK, IL 60301
(773) 340-2336
Mailing address
137 N OAK PARK AVE STE 123, OAK PARK, IL 60301-1300
(773) 340-2336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/24/2015
Last updated
10/03/2019
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