Individual
MS. CHRISTINA R BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
36100 N BROOKSIDE DR STE 106, GURNEE, IL 60031-4572
(847) 618-1000
Mailing address
25452 W CHESNEY DR, LAKE VILLA, IL 60046-9714
(847) 356-1255
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-033833
IL
Other
Enumeration date
07/13/2006
Last updated
02/01/2012
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