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Individual

CHRISTINE WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5122 S ARCHER AVE, CHICAGO, IL 60632-4508
(872) 588-3560
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008462
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085008462
STATE LICENSE
IL
01
385006398
CS LICENSE
IL
Enumeration date
04/26/2021
Last updated
11/19/2025
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