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Individual

DR. ELLEN CAROLINE CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
800 SCHOOL ST, CARROLLTON, IL 62016-1436
(217) 942-6946
(217) 942-9012
Mailing address
731 1/2 W MONROE ST, SPRINGFIELD, IL 62704-1828
(217) 653-3889

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001659
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147001659
IL LICENSURE
IL
Enumeration date
12/06/2017
Last updated
11/27/2019
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