Individual
CHRISTINE KATHERINE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1729 BENSON AVE, EVANSTON, IL 60201-3704
(847) 570-7170
(847) 570-7172
Mailing address
1729 BENSON AVE, EVANSTON, IL 60201-3704
(847) 570-7170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70013266
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP
IL
01
—
567700
MEDICARE GROUP NUMBER
IL
01
—
568080
MEDICARE GROUP NUMBER
IL
01
—
568150
MEDICARE GROUP NUMBER
IL
Enumeration date
06/04/2006
Last updated
05/02/2016
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